Injection(s) trigger point(s) single/multiple >= 3 muscle(s) at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$724.80
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.
$1,510.00
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.
$335.57 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 | $335.57 | ↓ -54% |
| Aetna | Medicare Managed Care Plan | $394.79 | ↓ -46% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $413.61 | ↓ -43% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $465.85 | ↓ -36% |
| Healthnet | Ambetter Hmo | $730.36 | ↑ +1% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↑ +10% |
| Unitedhealthcare | Select/Navigate Hmo | $1,394.00 | ↑ +92% |
| Unitedhealthcare | All Commercial Plans | $1,523.00 | ↑ +110% |
| Blue Shield | Epn Exchange | $1,535.00 | ↑ +112% |
| Blue Shield | Tandem Ppo | $1,903.00 | ↑ +163% |
| Blue Shield | Hmo/Ppo | $2,114.00 | ↑ +192% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +364% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,456.00 | ↑ +1481% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,747.00 | ↑ +1797% |
Visitor-reported prices
Comments
Injection(s) trigger point(s) single/multiple >= 3 muscle(s) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $515.53 | $85.05 – $918.06 |
| Petaluma Valley Hospital | Petaluma | $1,256.13 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $481.50 | $56.22 – $1,069.18 |
| Mark Twain Medical Center | San Andreas | $492.84 | $27.94 – $105.84 |
| French Hospital | San Luis Obispo | $427.68 | $56.22 – $1,069.18 |
| Queen of The Valley Medical Center | Napa | $1,826.82 | $435.83 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,499.51 | $394.79 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $918.51 | $413.57 – $3,982.87 |