Quant diff pulm perf and vent w/imaging at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$2,418.72
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.
$5,039.00
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.
$593.60 with Providence vs $3,276.18 with Blue Cross — 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 | $593.60 | ↓ -75% |
| Aetna | Medicare Managed Care Plan | $698.35 | ↓ -71% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $731.65 | ↓ -70% |
| Unitedhealthcare | All Commercial Plans | $755.17 | ↓ -69% |
| Unitedhealthcare | Select/Navigate Hmo | $755.17 | ↓ -69% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $824.04 | ↓ -66% |
| Healthnet | Ambetter Hmo | $1,291.95 | ↓ -47% |
| Aetna | Gatekeeper Hmo | $1,438.62 | ↓ -41% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,730.14 | ↑ +13% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $3,276.18 | ↑ +35% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $829.36 | $107.65 – $1,198.92 |
| Mark Twain Medical Center | San Andreas | $3,372.63 | $271.30 – $4,848.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $457.82 | $271.30 – $2,565.73 |
| Bakersfield Memorial Hospital | Bakersfield | $452.88 | $271.30 – $2,565.73 |
| Queen of The Valley Medical Center | Napa | $4,385.49 | $755.17 – $2,213.99 |
| Providence St Joseph Hospital Eureka | Eureka | $3,731.67 | $698.35 – $2,421.05 |
| St. Joseph's Medical Center Stockton | Stockton | $4,641.38 | $271.30 – $6,473.08 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,410.72 | $593.60 – $1,291.95 |