Replace duod/jej tube perc at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$812.16
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.
$1,692.00
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.
$991.55 with Providence vs $15,614.00 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 | $991.55 | ↑ +22% |
| Aetna | Medicare Managed Care Plan | $1,166.53 | ↑ +44% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,222.15 | ↑ +50% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,376.49 | ↑ +69% |
| Healthnet | Ambetter Hmo | $2,158.09 | ↑ +166% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +314% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +326% |
| Unitedhealthcare | Select/Navigate Hmo | $3,465.00 | ↑ +327% |
| Unitedhealthcare | All Commercial Plans | $3,746.00 | ↑ +361% |
| Blue Shield | Epn Exchange | $5,605.00 | ↑ +590% |
| Blue Shield | Tandem Ppo | $6,929.00 | ↑ +753% |
| Blue Shield | Hmo/Ppo | $7,704.00 | ↑ +849% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,012.00 | ↑ +1502% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,614.00 | ↑ +1823% |
Visitor-reported prices
Comments
Replace duod/jej tube perc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $559.77 | $345.06 – $2,072.04 |
| Petaluma Valley Hospital | Petaluma | $1,671.27 | $1,222.26 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $919.35 | $677.96 – $2,076.62 |
| French Hospital | San Luis Obispo | $1,007.44 | $523.53 – $1,900.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $957.56 | $677.96 – $1,633.88 |
| Bakersfield Memorial Hospital | Bakersfield | $966.32 | $677.96 – $1,633.88 |
| Queen of The Valley Medical Center | Napa | $1,858.44 | $1,287.79 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,143.53 | $1,166.53 – $8,018.00 |