Treat thigh fracture at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
not published by hospital
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.
not published by hospital
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.
$5,605.00 with Blue Shield vs $20,418.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $5,605.00 | — |
| Blue Shield | Tandem Ppo | $6,929.00 | — |
| Blue Shield | Hmo/Ppo | $7,704.00 | — |
| Providence | Oscar All Commercial Plans | $7,932.80 | — |
| Aetna | Medicare Managed Care Plan | $9,332.70 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $9,777.67 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $11,012.44 | — |
| Unitedhealthcare | Select/Navigate Hmo | $11,403.00 | — |
| Unitedhealthcare | All Commercial Plans | $12,301.00 | — |
| Aetna | Gatekeeper Hmo | $13,043.00 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $17,015.00 | — |
| Healthnet | Ambetter Hmo | $17,265.50 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $20,418.00 | — |
Visitor-reported prices
Comments
Treat thigh fracture at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $2,077.92 | $807.15 – $3,057.60 |
| Healdsburg Hospital | Healdsburg | $1,859.97 | $3,125.00 – $9,776.62 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $781.85 | $34.53 – $2,337.31 |
| ST HELENA HOSPITAL | Vallejo | $683.70 | $40.00 – $2,668.86 |
| HANFORD COMMUNITY HOSPITAL | Selma | $781.85 | $70.00 – $9,332.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $617.25 | $560.00 – $9,332.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,715.90 | $560.00 – $1,770.58 |
| WILLITS HOSPITAL INC | Willits | $1,234.50 | $180.57 – $2,425.86 |