Angioplasty/iliac/init ves/unilat 37220 at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$4,720.80
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.
$9,835.00
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.
$9,400.00 with Blue Shield vs $16,838.00 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 | $9,400.00 | ↑ +99% |
| Aetna | Gatekeeper Hmo | $11,564.00 | ↑ +145% |
| Blue Shield | Tandem Ppo | $11,651.00 | ↑ +147% |
| Unitedhealthcare | Select/Navigate Hmo | $12,633.00 | ↑ +168% |
| Blue Shield | Hmo/Ppo | $12,948.00 | ↑ +174% |
| Unitedhealthcare | All Commercial Plans | $13,840.00 | ↑ +193% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $14,032.00 | ↑ +197% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +253% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,838.00 | ↑ +257% |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,886.29 | $534.52 – $13,090.66 |
| Arroyo Grande Hospital | Santa Maria | $7,017.06 | $353.31 – $16,067.10 |
| French Hospital | San Luis Obispo | $6,426.84 | $353.31 – $16,067.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $21,532.47 | $353.31 – $11,608.00 |
| Bakersfield Memorial Hospital | Bakersfield | $21,300.32 | $353.31 – $11,462.90 |
| Queen of The Valley Medical Center | Napa | $16,396.50 | $9,256.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,861.65 | $11,036.00 – $47,967.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,173.02 | $0.80 – $6,340.00 |