Psych test eval svc phys/qhp 1st hr at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$309.12
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.
$644.00
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 $5,757.00 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 | $236.06 | ↓ -24% |
| Aetna | Medicare Managed Care Plan | $277.71 | ↓ -10% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $290.95 | ↓ -6% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $327.70 | ↑ +6% |
| Healthnet | Ambetter Hmo | $513.77 | ↑ +66% |
| Blue Shield | Epn Exchange | $4,188.00 | ↑ +1255% |
| Blue Shield | Tandem Ppo | $5,178.00 | ↑ +1575% |
| Blue Shield | Hmo/Ppo | $5,757.00 | ↑ +1762% |
Visitor-reported prices
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Psych test eval svc phys/qhp 1st hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $205.44 | $236.06 – $5,171.00 |
| Northridge Hospital Medical Center | Northridge | $147.04 | $99.60 – $4,018.00 |
| Providence St Joseph Hospital Orange | Orange | $212.16 | $236.06 – $4,971.00 |
| Petaluma Valley Hospital | Petaluma | not published | $290.98 – $1,921.00 |
| Queen of The Valley Medical Center | Napa | not published | $306.58 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $277.71 – $5,835.00 |
| Healdsburg Hospital | Healdsburg | not published | $290.92 – $2,335.00 |
| Redwood Memorial Hospital | Fortuna | not published | $5,981.00 – $5,981.00 |