Ins icd gen exist sgl lead at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$14,389.92
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.
$29,979.00
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.
$11,564.00 with Aetna vs $73,264.00 with Healthnet — 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 |
|---|---|---|---|
| Aetna | Gatekeeper Hmo | $11,564.00 | ↓ -20% |
| Unitedhealthcare | Select/Navigate Hmo | $16,608.00 | ↑ +15% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $17,143.00 | ↑ +19% |
| Unitedhealthcare | All Commercial Plans | $18,191.00 | ↑ +26% |
| Blue Shield | Epn Exchange | $19,970.00 | ↑ +39% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $20,572.00 | ↑ +43% |
| Providence | Oscar All Commercial Plans | $24,317.61 | ↑ +69% |
| Blue Shield | Tandem Ppo | $24,751.00 | ↑ +72% |
| Blue Shield | Hmo/Ppo | $27,507.00 | ↑ +91% |
| Aetna | Medicare Managed Care Plan | $28,608.96 | ↑ +99% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $29,972.98 | ↑ +108% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $33,758.11 | ↑ +135% |
| Healthnet | Ambetter Hmo | $52,926.57 | ↑ +268% |
| Healthnet | Hmo/Pos/Ppo | $73,264.00 | ↑ +409% |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $33,490.80 | $541.77 – $59,641.14 |
| Arroyo Grande Hospital | Santa Maria | $33,496.14 | $440.46 – $76,696.76 |
| French Hospital | San Luis Obispo | $31,215.75 | $440.46 – $78,039.36 |
| Bakersfield Memorial Hospital | Bakersfield | $36,150.61 | $440.46 – $77,817.37 |
| Queen of The Valley Medical Center | Napa | $40,281.84 | $12,563.00 – $113,226.00 |
| St. Joseph's Medical Center Stockton | Stockton | $27,814.17 | $440.46 – $79,469.04 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,689.92 | $11,790.00 – $52,926.57 |
| Mercy Medical Center Merced | Merced | $49,389.53 | $440.46 – $94,942.98 |