Knee Arthroscopy (Meniscus Repair) at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,577.09 with Providence vs $16,838.00 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $3,577.09 | — |
| Aetna | Medicare Managed Care Plan | $4,208.34 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,408.99 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,965.77 | — |
| Healthnet | Ambetter Hmo | $7,785.43 | — |
| Unitedhealthcare | Select/Navigate Hmo | $9,230.00 | — |
| Blue Shield | Epn Exchange | $9,400.00 | — |
| Healthnet | Hmo/Pos/Ppo | $9,990.00 | — |
| Unitedhealthcare | All Commercial Plans | $10,117.00 | — |
| Aetna | Gatekeeper Hmo | $11,564.00 | — |
| Blue Shield | Tandem Ppo | $11,651.00 | — |
| Blue Shield | Hmo/Ppo | $12,948.00 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $14,032.00 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,838.00 | — |
Visitor-reported prices
Comments
Knee Arthroscopy (Meniscus Repair) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $7,324.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $7,324.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $5,148.00 | not published |
| Riverside Medical Center | RIVERSIDE | $5,148.00 | not published |
| Sacramento Medical Center | SACRAMENTO | $7,324.80 | not published |
| Oakland Medical Center | Oakland | $7,324.80 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $7,324.80 | not published |
| Mark Twain Medical Center | San Andreas | $946.39 | $367.62 – $1,392.58 |