Artery-vein nonautograft at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$8,242.08
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.
$17,171.00
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.
$6,083.33 with Providence vs $16,652.00 with Healthnet — 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 | $6,083.33 | ↓ -26% |
| Aetna | Medicare Managed Care Plan | $7,156.86 | ↓ -13% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7,498.09 | ↓ -9% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $8,444.98 | ↑ +2% |
| Blue Shield | Epn Exchange | $9,400.00 | ↑ +14% |
| Aetna | Gatekeeper Hmo | $11,564.00 | ↑ +40% |
| Blue Shield | Tandem Ppo | $11,651.00 | ↑ +41% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,840.00 | ↑ +44% |
| Unitedhealthcare | Select/Navigate Hmo | $12,633.00 | ↑ +53% |
| Blue Shield | Hmo/Ppo | $12,948.00 | ↑ +57% |
| Healthnet | Ambetter Hmo | $13,240.19 | ↑ +61% |
| Unitedhealthcare | All Commercial Plans | $13,840.00 | ↑ +68% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $14,208.00 | ↑ +72% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +102% |
Visitor-reported prices
Comments
Artery-vein nonautograft at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Medical Center Stockton | Stockton | $7,161.26 | $667.74 – $9,932.16 |
| Northridge Hospital Medical Center | Northridge | $4,889.48 | $667.74 – $17,525.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $821.32 – $12,900.80 |
| Petaluma Valley Hospital | Petaluma | not published | $3,632.00 – $15,313.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $667.74 – $6,868.48 |
| Mark Twain Medical Center | San Andreas | not published | $667.74 – $667.74 |
| French Hospital | San Luis Obispo | not published | $667.74 – $6,868.48 |
| Queen of The Valley Medical Center | Napa | not published | $7,745.00 – $27,307.00 |