Repair of eye socket wound at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$2,250.72
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.
$4,689.00
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.
$4,297.97 with Providence vs $14,208.00 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 | $4,297.97 | ↑ +91% |
| Aetna | Medicare Managed Care Plan | $5,056.43 | ↑ +125% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $5,297.52 | ↑ +135% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,966.51 | ↑ +165% |
| Blue Shield | Epn Exchange | $7,602.00 | ↑ +238% |
| Aetna | Gatekeeper Hmo | $8,741.00 | ↑ +288% |
| Unitedhealthcare | Select/Navigate Hmo | $9,230.00 | ↑ +310% |
| Healthnet | Ambetter Hmo | $9,354.40 | ↑ +316% |
| Blue Shield | Tandem Ppo | $9,422.00 | ↑ +319% |
| Healthnet | Hmo/Pos/Ppo | $9,990.00 | ↑ +344% |
| Unitedhealthcare | All Commercial Plans | $10,117.00 | ↑ +350% |
| Blue Shield | Hmo/Ppo | $10,471.00 | ↑ +365% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,840.00 | ↑ +426% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $14,208.00 | ↑ +531% |
Visitor-reported prices
Comments
Repair of eye socket wound at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $6,755.46 | $2,937.00 – $11,185.00 |
| Queen of The Valley Medical Center | Napa | $8,831.16 | $5,582.04 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,332.56 | $5,056.43 – $17,611.00 |
| Healdsburg Hospital | Healdsburg | $4,634.88 | $3,572.00 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $4,456.89 | $9,031.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $10,598.31 | $3,423.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,250.72 | $4,297.97 – $9,354.40 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,919.40 | $1,747.00 – $7,332.00 |