Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$18,407.04
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.
$38,348.00
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 $106,565.00 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 | ↓ -37% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $14,032.00 | ↓ -24% |
| Unitedhealthcare | Select/Navigate Hmo | $16,608.00 | ↓ -10% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,838.00 | ↓ -9% |
| Unitedhealthcare | All Commercial Plans | $18,191.00 | ↓ -1% |
| Blue Shield | Epn Exchange | $19,970.00 | ↑ +8% |
| Blue Shield | Tandem Ppo | $24,751.00 | ↑ +34% |
| Blue Shield | Hmo/Ppo | $27,507.00 | ↑ +49% |
| Providence | Oscar All Commercial Plans | $34,315.63 | ↑ +86% |
| Aetna | Medicare Managed Care Plan | $40,371.32 | ↑ +119% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $42,296.16 | ↑ +130% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $47,637.52 | ↑ +159% |
| Healthnet | Ambetter Hmo | $74,686.95 | ↑ +306% |
| Healthnet | Hmo/Pos/Ppo | $106,565.00 | ↑ +479% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $38,936.45 | $1,263.26 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $48,695.70 | $1,027.04 – $108,086.16 |
| French Hospital | San Luis Obispo | $45,510.03 | $1,027.04 – $108,086.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42,654.25 | $1,027.04 – $91,976.80 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $1,027.04 – $90,827.09 |
| Queen of The Valley Medical Center | Napa | $72,027.81 | $9,256.00 – $126,547.00 |
| Providence St Joseph Hospital Eureka | Eureka | $37,077.00 | $11,046.00 – $126,547.00 |
| Redwood Memorial Hospital | Fortuna | $59,601.66 | $11,059.00 – $126,547.00 |