Repair pm/icd lead sgl at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$5,136.48
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.
$10,701.00
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.
$4,085.40 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 | $4,085.40 | ↓ -20% |
| Aetna | Medicare Managed Care Plan | $4,806.35 | ↓ -6% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $5,035.51 | ↓ -2% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,671.42 | ↑ +10% |
| Unitedhealthcare | Select/Navigate Hmo | $8,335.00 | ↑ +62% |
| Healthnet | Ambetter Hmo | $8,891.76 | ↑ +73% |
| Unitedhealthcare | All Commercial Plans | $8,987.00 | ↑ +75% |
| Aetna | Gatekeeper Hmo | $11,564.00 | ↑ +125% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +153% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +204% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +224% |
| Blue Shield | Epn Exchange | $16,826.00 | ↑ +228% |
| Blue Shield | Tandem Ppo | $20,803.00 | ↑ +305% |
| Blue Shield | Hmo/Ppo | $23,129.00 | ↑ +350% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,096.27 | $297.43 – $8,410.84 |
| Arroyo Grande Hospital | Santa Maria | $7,445.92 | $241.81 – $17,049.06 |
| French Hospital | San Luis Obispo | $6,415.87 | $241.81 – $16,039.66 |
| Bakersfield Memorial Hospital | Bakersfield | $2,430.28 | $241.81 – $5,231.38 |
| Queen of The Valley Medical Center | Napa | $7,975.38 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,647.34 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,869.84 | $241.81 – $5,342.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,202.00 | $4,042.00 – $11,377.00 |