Perc d-e cor revasc t cabg s at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$10,404.48
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.
$21,676.00
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.
$10,687.00 with Blue Shield vs $39,963.00 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 | $10,687.00 | ↑ +3% |
| Providence | Oscar All Commercial Plans | $12,620.59 | ↑ +21% |
| Blue Shield | Tandem Ppo | $13,245.00 | ↑ +27% |
| Blue Shield | Hmo/Ppo | $14,720.00 | ↑ +41% |
| Aetna | Medicare Managed Care Plan | $14,847.76 | ↑ +43% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $15,555.67 | ↑ +50% |
| Unitedhealthcare | Select/Navigate Hmo | $16,608.00 | ↑ +60% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $17,143.00 | ↑ +65% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $17,520.12 | ↑ +68% |
| Unitedhealthcare | All Commercial Plans | $18,191.00 | ↑ +75% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $20,572.00 | ↑ +98% |
| Healthnet | Ambetter Hmo | $27,468.35 | ↑ +164% |
| Healthnet | Hmo/Pos/Ppo | $39,963.00 | ↑ +284% |
Visitor-reported prices
Comments
Perc d-e cor revasc t cabg s at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $13,045.40 | $8,041.68 – $26,644.42 |
| Petaluma Valley Hospital | Petaluma | $41,134.56 | $4,129.00 – $20,143.00 |
| Queen of The Valley Medical Center | Napa | $19,179.57 | $12,022.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $13,546.62 | $12,546.00 – $62,607.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,111.05 | $4,812.00 – $20,488.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $9,551.04 | $11,117.00 – $27,468.35 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,596.80 | $2,455.00 – $27,468.35 |
| Providence Saint Joseph Medical Center | Burbank | $8,034.60 | $2,455.00 – $27,468.35 |