Bronch w/debrdmt subgltc & uppr trach at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$2,675.04
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.
$5,573.00
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.
$218.22 with Providence vs $6,847.00 with Blue Shield — 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 | $218.22 | ↓ -92% |
| Aetna | Medicare Managed Care Plan | $256.73 | ↓ -90% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $268.97 | ↓ -90% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $302.93 | ↓ -89% |
| Healthnet | Ambetter Hmo | $474.95 | ↓ -82% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↓ -70% |
| Unitedhealthcare | Select/Navigate Hmo | $1,394.00 | ↓ -48% |
| Unitedhealthcare | All Commercial Plans | $1,523.00 | ↓ -43% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +26% |
| Blue Shield | Epn Exchange | $4,971.00 | ↑ +86% |
| Blue Shield | Tandem Ppo | $6,161.00 | ↑ +130% |
| Blue Shield | Hmo/Ppo | $6,847.00 | ↑ +156% |
Visitor-reported prices
Comments
Bronch w/debrdmt subgltc & uppr trach at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $214.81 | $156.33 – $463.20 |
| Bakersfield Memorial Hospital | Bakersfield | $212.50 | $156.33 – $457.41 |
| St. Joseph's Behavioral Health Center | Stockton | $318.05 | $55.70 – $445.60 |
| Healdsburg Hospital | Healdsburg | $269.79 | $268.94 – $3,982.87 |
| St. Joseph's Medical Center Stockton | Stockton | $161.70 | $115.50 – $462.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,113.76 | $218.22 – $5,171.00 |
| Mercy Medical Center Merced | Merced | $302.31 | $193.71 – $581.13 |
| St. John's Camarillo Hospital | Camarillo | not published | $246.67 – $448.66 |