Nm imaging pulmonary ventilation/perfusion at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$1,098.24
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.
$2,288.00
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.
$593.60 with Providence vs $3,314.48 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 | $593.60 | ↓ -46% |
| Aetna | Medicare Managed Care Plan | $698.35 | ↓ -36% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $731.65 | ↓ -33% |
| Unitedhealthcare | All Commercial Plans | $755.17 | ↓ -31% |
| Unitedhealthcare | Select/Navigate Hmo | $755.17 | ↓ -31% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $824.04 | ↓ -25% |
| Healthnet | Ambetter Hmo | $1,291.95 | ↑ +18% |
| Aetna | Gatekeeper Hmo | $1,458.49 | ↑ +33% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,762.08 | ↑ +152% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $3,314.48 | ↑ +202% |
Visitor-reported prices
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Nm imaging pulmonary ventilation/perfusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,607.46 | $440.14 – $2,862.60 |
| Banner Lassen Medical Center | Susanville | $728.71 | $107.65 – $1,053.42 |
| Petaluma Valley Hospital | Petaluma | $2,117.01 | $731.71 – $1,746.48 |
| Arroyo Grande Hospital | Santa Maria | $1,938.84 | $290.92 – $3,860.22 |
| Mark Twain Medical Center | San Andreas | $5,373.29 | $290.93 – $4,394.32 |
| French Hospital | San Luis Obispo | $1,544.09 | $290.92 – $2,704.43 |
| Mercy Hospitals – Bakersfield | Bakersfield | $562.07 | $290.93 – $2,565.73 |
| Bakersfield Memorial Hospital | Bakersfield | $556.01 | $290.93 – $2,565.73 |