Perq plmt bile duct stent at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$10,066.08
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.
$20,971.00
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.
$6,405.00 with Blue Shield vs $16,652.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $6,405.00 | ↓ -36% |
| Providence | Oscar All Commercial Plans | $6,609.22 | ↓ -34% |
| Aetna | Medicare Managed Care Plan | $7,775.56 | ↓ -23% |
| Blue Shield | Tandem Ppo | $7,919.00 | ↓ -21% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $8,146.28 | ↓ -19% |
| Aetna | Gatekeeper Hmo | $8,741.00 | ↓ -13% |
| Blue Shield | Hmo/Ppo | $8,804.00 | ↓ -13% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $9,175.04 | ↓ -9% |
| Unitedhealthcare | Select/Navigate Hmo | $11,403.00 | ↑ +13% |
| Unitedhealthcare | All Commercial Plans | $12,301.00 | ↑ +22% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +29% |
| Healthnet | Ambetter Hmo | $14,384.78 | ↑ +43% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +55% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +65% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,759.70 | $3,550.50 – $13,082.50 |
| Arroyo Grande Hospital | Santa Maria | $8,329.31 | $4,189.49 – $19,071.78 |
| French Hospital | San Luis Obispo | $7,628.72 | $4,189.49 – $19,071.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6,243.19 | $4,189.49 – $13,462.40 |
| Bakersfield Memorial Hospital | Bakersfield | $6,175.88 | $4,189.49 – $13,294.12 |
| St. Joseph's Medical Center Stockton | Stockton | $4,516.43 | $3,226.02 – $12,904.08 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,111.44 | $3,423.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,294.88 | $5,357.00 – $14,384.78 |