Ghs simple repair 12.6 - 20.0 cm - 12005 at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$563.04
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.
$1,173.00
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.
$444.42 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 | $444.42 | ↓ -21% |
| Aetna | Medicare Managed Care Plan | $522.85 | ↓ -7% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $547.77 | ↓ -3% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $616.95 | ↑ +10% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↑ +42% |
| Healthnet | Ambetter Hmo | $967.27 | ↑ +72% |
| Unitedhealthcare | Select/Navigate Hmo | $1,394.00 | ↑ +148% |
| Unitedhealthcare | All Commercial Plans | $1,523.00 | ↑ +170% |
| Aetna | Gatekeeper Hmo | $4,035.00 | ↑ +617% |
| Blue Shield | Epn Exchange | $6,652.00 | ↑ +1081% |
| Blue Shield | Tandem Ppo | $8,244.00 | ↑ +1364% |
| Blue Shield | Hmo/Ppo | $9,162.00 | ↑ +1527% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,456.00 | ↑ +1935% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,747.00 | ↑ +2342% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12005 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,727.88 | $547.82 – $2,570.00 |
| Mark Twain Medical Center | San Andreas | $241.76 | $93.91 – $355.74 |
| Queen of The Valley Medical Center | Napa | $1,145.97 | $577.20 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,312.74 | $522.85 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,075.08 | $547.72 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $1,316.31 | $1,333.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,358.64 | $565.65 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,056.48 | $444.42 – $6,920.00 |