Ins/rpl ldless pm right vent w img & eval at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$17,118.24
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.
$35,663.00
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.
$9,400.00 with Blue Shield vs $59,944.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $9,400.00 | ↓ -45% |
| Aetna | Gatekeeper Hmo | $11,564.00 | ↓ -32% |
| Blue Shield | Tandem Ppo | $11,651.00 | ↓ -32% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,840.00 | ↓ -31% |
| Blue Shield | Hmo/Ppo | $12,948.00 | ↓ -24% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $14,208.00 | ↓ -17% |
| Unitedhealthcare | Select/Navigate Hmo | $16,608.00 | ↓ -3% |
| Unitedhealthcare | All Commercial Plans | $18,191.00 | ↑ +6% |
| Providence | Oscar All Commercial Plans | $21,057.69 | ↑ +23% |
| Aetna | Medicare Managed Care Plan | $24,773.75 | ↑ +45% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $25,954.93 | ↑ +52% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $29,232.64 | ↑ +71% |
| Healthnet | Ambetter Hmo | $45,831.45 | ↑ +168% |
| Healthnet | Hmo/Pos/Ppo | $59,944.00 | ↑ +250% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,482.34 | $631.97 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $27,923.15 | $417.72 – $63,936.18 |
| French Hospital | San Luis Obispo | $25,574.48 | $417.72 – $63,936.18 |
| Bakersfield Memorial Hospital | Bakersfield | $21,010.75 | $417.72 – $45,227.50 |
| Queen of The Valley Medical Center | Napa | $24,293.85 | $7,745.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $27,480.84 | $9,008.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $16,491.05 | $417.72 – $47,117.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | $23,344.74 | $4,233.00 – $26,801.96 |