Place right device/marker pros at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$2,366.88
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.
$4,931.00
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.
$1,513.19 with Providence vs $23,129.00 with Blue Shield — 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 | $1,513.19 | ↓ -36% |
| Aetna | Medicare Managed Care Plan | $1,780.22 | ↓ -25% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,865.10 | ↓ -21% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,100.64 | ↓ -11% |
| Healthnet | Ambetter Hmo | $3,293.41 | ↑ +39% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +42% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +46% |
| Unitedhealthcare | Select/Navigate Hmo | $3,465.00 | ↑ +46% |
| Unitedhealthcare | All Commercial Plans | $3,746.00 | ↑ +58% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +450% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +560% |
| Blue Shield | Epn Exchange | $16,826.00 | ↑ +611% |
| Blue Shield | Tandem Ppo | $20,803.00 | ↑ +779% |
| Blue Shield | Hmo/Ppo | $23,129.00 | ↑ +877% |
Visitor-reported prices
Comments
Place right device/marker pros at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,635.37 | $132.17 – $3,526.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,617.74 | $132.17 – $3,482.32 |
| Providence St Joseph Hospital Eureka | Eureka | $1,773.27 | $1,780.22 – $23,444.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,746.66 | $132.17 – $2,295.72 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,285.26 | $179.90 – $1,618.96 |
| Mercy Medical Center Merced | Merced | $2,261.88 | $132.17 – $2,196.00 |
| Northridge Hospital Medical Center | Northridge | $1,261.92 | $132.17 – $4,523.00 |
| Providence Saint Joseph Medical Center | Burbank | $2,632.70 | $1,780.22 – $4,589.00 |