Nerobehav stas exam by psy/md f2f 1st hr at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$214.08
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.
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What you pay up front if you don't use insurance.
$446.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$236.06 with Providence vs $513.77 with Healthnet — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 | $236.06 | ↑ +10% |
| Aetna | Medicare Managed Care Plan | $277.71 | ↑ +30% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $290.95 | ↑ +36% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $327.70 | ↑ +53% |
| Healthnet | Ambetter Hmo | $513.77 | ↑ +140% |
Visitor-reported prices
Comments
Nerobehav stas exam by psy/md f2f 1st hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $159.84 | $236.06 – $513.77 |
| Providence St Joseph Hospital Orange | Orange | $191.04 | $236.06 – $513.77 |
| Mercy San Juan Medical Center | Carmichael | $387.71 | $69.80 – $939.56 |
| Mercy General Hospital | Sacramento | $308.47 | $69.80 – $905.60 |
| Mercy Hospital of Folsom | Folsom | $550.44 | $69.80 – $928.24 |
| Woodland Memorial Hospital | Woodland | $387.71 | $69.80 – $1,132.00 |
| Methodist Hospital of Sacramento | Sacramento | $407.52 | $69.80 – $939.56 |
| Petaluma Valley Hospital | Petaluma | not published | $290.98 – $296.92 |