Hdr rdncl ntrstl/icav brchtx at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$4,661.28
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.
$9,711.00
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.
$761.42 with Providence vs $5,920.65 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 | $761.42 | ↓ -84% |
| Aetna | Medicare Managed Care Plan | $895.78 | ↓ -81% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $938.49 | ↓ -80% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,057.01 | ↓ -77% |
| Healthnet | Ambetter Hmo | $1,657.20 | ↓ -64% |
| Aetna | Gatekeeper Hmo | $2,168.34 | ↓ -53% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $4,933.90 | ↑ +6% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $5,920.65 | ↑ +27% |
Visitor-reported prices
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Hdr rdncl ntrstl/icav brchtx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $639.92 | $394.47 – $1,763.10 |
| St. Joseph's Medical Center Stockton | Stockton | $1,801.93 | $540.76 – $5,850.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,927.52 | $761.42 – $1,657.20 |
| Mercy Medical Center Merced | Merced | $1,269.48 | $540.76 – $2,465.00 |
| Northridge Hospital Medical Center | Northridge | $2,484.78 | $540.76 – $8,906.00 |
| Sequoia Hospital | Redwood City | $2,967.70 | $540.76 – $7,600.00 |
| St. Mary Medical Center | Long Beach | $1,612.50 | $486.68 – $3,750.00 |
| Providence Saint Joseph Medical Center | Burbank | $2,636.20 | $698.07 – $1,843.59 |