Removal biliary drg cath at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$1,232.16
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.
$2,567.00
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.
$991.55 with Providence vs $13,747.00 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 | $991.55 | ↓ -20% |
| Aetna | Medicare Managed Care Plan | $1,166.53 | ↓ -5% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,222.15 | ↓ -1% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,376.49 | ↑ +12% |
| Healthnet | Ambetter Hmo | $2,158.09 | ↑ +75% |
| Aetna | Gatekeeper Hmo | $3,363.00 | ↑ +173% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +181% |
| Unitedhealthcare | Select/Navigate Hmo | $3,845.00 | ↑ +212% |
| Unitedhealthcare | All Commercial Plans | $4,218.00 | ↑ +242% |
| Blue Shield | Epn Exchange | $4,971.00 | ↑ +303% |
| Blue Shield | Tandem Ppo | $6,161.00 | ↑ +400% |
| Blue Shield | Hmo/Ppo | $6,847.00 | ↑ +456% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,456.00 | ↑ +830% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,747.00 | ↑ +1016% |
Visitor-reported prices
Comments
Removal biliary drg cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $676.71 | $417.15 – $2,072.04 |
| Arroyo Grande Hospital | Santa Maria | $3,432.99 | $339.17 – $5,780.04 |
| French Hospital | San Luis Obispo | $3,190.49 | $339.17 – $5,780.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $963.12 | $339.17 – $1,515.20 |
| Bakersfield Memorial Hospital | Bakersfield | $952.74 | $339.17 – $1,496.26 |
| Providence St Joseph Hospital Eureka | Eureka | $1,215.33 | $1,166.53 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,199.12 | $339.17 – $3,141.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,675.97 | $1,262.04 – $4,737.00 |