Ghs ed therapeutic lp, drain csf w fluoro at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$1,788.96
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.
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What you pay up front if you don't use insurance.
$3,727.00
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.
$771.70 with Providence vs $13,747.00 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $771.70 | ↓ -57% |
| Aetna | Medicare Managed Care Plan | $907.88 | ↓ -49% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $951.17 | ↓ -47% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,071.29 | ↓ -40% |
| Healthnet | Ambetter Hmo | $1,679.58 | ↓ -6% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +12% |
| Unitedhealthcare | Select/Navigate Hmo | $2,216.00 | ↑ +24% |
| Unitedhealthcare | All Commercial Plans | $2,428.00 | ↑ +36% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +88% |
| Blue Shield | Epn Exchange | $4,971.00 | ↑ +178% |
| Blue Shield | Tandem Ppo | $6,161.00 | ↑ +244% |
| Blue Shield | Hmo/Ppo | $6,847.00 | ↑ +283% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,456.00 | ↑ +540% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,747.00 | ↑ +668% |
Visitor-reported prices
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Ghs ed therapeutic lp, drain csf w fluoro at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $718.76 | $443.07 – $1,617.30 |
| Petaluma Valley Hospital | Petaluma | $986.34 | $951.25 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $791.38 | $294.12 – $1,687.56 |
| French Hospital | San Luis Obispo | $724.81 | $294.12 – $1,687.56 |
| Mercy Hospitals – Bakersfield | Bakersfield | $700.82 | $294.12 – $1,467.20 |
| Bakersfield Memorial Hospital | Bakersfield | $673.08 | $294.12 – $1,448.86 |
| Queen of The Valley Medical Center | Napa | $3,642.93 | $1,002.25 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,236.79 | $907.88 – $8,018.00 |