Transcath mv repair addl prosthesis at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$12,932.64
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.
$26,943.00
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.
$1,266.00 with Unitedhealthcare vs $22,145.00 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $1,266.00 | ↓ -90% |
| Blue Shield | Epn Exchange | $1,293.00 | ↓ -90% |
| Unitedhealthcare | All Commercial Plans | $1,358.00 | ↓ -89% |
| Blue Shield | Tandem Ppo | $1,599.00 | ↓ -88% |
| Blue Shield | Hmo/Ppo | $1,778.00 | ↓ -86% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $18,454.00 | ↑ +43% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $22,145.00 | ↑ +71% |
Visitor-reported prices
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Transcath mv repair addl prosthesis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $24,789.76 | $372.67 – $56,761.60 |
| French Hospital | San Luis Obispo | $22,704.64 | $372.67 – $56,761.60 |
| Bakersfield Memorial Hospital | Bakersfield | $5,757.50 | $372.67 – $15,531.12 |
| St. Joseph's Medical Center Stockton | Stockton | $4,417.94 | $372.67 – $12,622.68 |
| Santa Rosa Memorial Hospital | Santa Rosa | $17,730.15 | $691.00 – $12,568.00 |
| Mercy Medical Center Merced | Merced | $8,125.67 | $372.67 – $15,620.22 |
| Dominican Hospital | Santa Cruz | $11,407.50 | $372.67 – $22,815.00 |
| Providence St Joseph Hospital Orange | Orange | $10,359.84 | $1,394.00 – $17,143.00 |