Mopath procedure level 5 at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$233.61 with Providence vs $2,795.51 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $233.61 | — |
| Aetna | Medicare Managed Care Plan | $274.83 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $438.99 | — |
| Healthnet | Ambetter Hmo | $508.44 | — |
| Unitedhealthcare | All Commercial Plans | $549.66 | — |
| Unitedhealthcare | Select/Navigate Hmo | $549.66 | — |
| Aetna | Gatekeeper Hmo | $719.76 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,223.48 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,668.18 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,795.51 | — |
Visitor-reported prices
Comments
Mopath procedure level 5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $394.20 | $171.00 – $729.21 |
| Banner Lassen Medical Center | Susanville | $342.77 | $54.97 – $453.47 |
| Arroyo Grande Hospital | Santa Maria | $516.17 | $72.77 – $708.13 |
| Mark Twain Medical Center | San Andreas | $599.40 | $202.99 – $367.50 |
| French Hospital | San Luis Obispo | $472.76 | $39.30 – $832.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $333.90 | $153.63 – $789.77 |
| Bakersfield Memorial Hospital | Bakersfield | $330.30 | $153.63 – $789.77 |
| St. Joseph's Behavioral Health Center | Stockton | $513.90 | $30.73 – $245.81 |