_afb org id by sequencing rflx ast-sendout at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
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.
$48.32 with Blue Cross vs $1,479.77 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 Cross | Anthem Vivity City Of La Other Commercial Plan | $48.32 | — |
| Providence | Oscar All Commercial Plans | $98.06 | — |
| Aetna | Medicare Managed Care Plan | $115.36 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $184.26 | — |
| Healthnet | Ambetter Hmo | $213.42 | — |
| Unitedhealthcare | Select/Navigate Hmo | $230.72 | — |
| Unitedhealthcare | All Commercial Plans | $230.72 | — |
| Aetna | Gatekeeper Hmo | $927.65 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,233.15 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,479.77 | — |
Visitor-reported prices
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_afb org id by sequencing rflx ast-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $69.87 | $28.16 – $306.07 |
| Banner Lassen Medical Center | Susanville | $77.00 | $14.76 – $169.19 |
| Arroyo Grande Hospital | Santa Maria | $199.09 | $52.13 – $297.22 |
| French Hospital | San Luis Obispo | $182.34 | $28.16 – $349.41 |
| Mercy Hospitals – Bakersfield | Bakersfield | $59.18 | $52.13 – $331.49 |
| Bakersfield Memorial Hospital | Bakersfield | $58.54 | $52.13 – $331.49 |
| St. Joseph's Behavioral Health Center | Stockton | $91.08 | $10.43 – $83.41 |
| St. Joseph's Medical Center Stockton | Stockton | $46.90 | $21.90 – $104.26 |