Carotid Artery Ultrasound (Duplex) at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$1,140.96
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.
?
What you pay up front if you don't use insurance.
$2,377.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$260.85 with Providence vs $2,041.12 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $260.85 | ↓ -77% |
| Aetna | Medicare Managed Care Plan | $306.88 | ↓ -73% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $321.51 | ↓ -72% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $362.12 | ↓ -68% |
| Healthnet | Ambetter Hmo | $567.73 | ↓ -50% |
| Aetna | Gatekeeper Hmo | $787.52 | ↓ -31% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,700.94 | ↑ +49% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,041.12 | ↑ +79% |
Visitor-reported prices
Comments
Carotid Artery Ultrasound (Duplex) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,241.30 | $221.09 – $2,210.52 |
| Banner Lassen Medical Center | Susanville | $1,143.52 | $48.34 – $1,830.39 |
| Petaluma Valley Hospital | Petaluma | $1,428.51 | $321.54 – $1,094.08 |
| Arroyo Grande Hospital | Santa Maria | $1,436.80 | $179.75 – $2,597.98 |
| Mark Twain Medical Center | San Andreas | $6,036.63 | $120.30 – $455.70 |
| French Hospital | San Luis Obispo | $2,157.57 | $179.75 – $1,809.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,031.01 | $179.75 – $2,223.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,019.90 | $179.75 – $2,195.41 |