Ultrasound exam k transpl w/doppler at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$904.80
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.
$1,885.00
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.
$114.29 with Providence vs $778.41 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 | $114.29 | ↓ -87% |
| Aetna | Medicare Managed Care Plan | $134.46 | ↓ -85% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $140.87 | ↓ -84% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $158.66 | ↓ -82% |
| Unitedhealthcare | All Commercial Plans | $179.33 | ↓ -80% |
| Unitedhealthcare | Select/Navigate Hmo | $179.33 | ↓ -80% |
| Healthnet | Ambetter Hmo | $248.76 | ↓ -73% |
| Aetna | Gatekeeper Hmo | $641.06 | ↓ -29% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $648.68 | ↓ -28% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $778.41 | ↓ -14% |
Visitor-reported prices
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Ultrasound exam k transpl w/doppler at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,062.59 | $135.12 – $1,892.28 |
| Redwood City Medical Center | Redwood City | $1,388.80 | $156.00 – $156.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,388.80 | $156.00 – $156.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $1,097.20 | $99.00 – $99.00 |
| Riverside Medical Center | RIVERSIDE | $1,097.20 | $99.00 – $99.00 |
| Sacramento Medical Center | SACRAMENTO | $1,388.80 | $156.00 – $156.00 |
| Oakland Medical Center | Oakland | $1,388.80 | $156.00 – $156.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $1,388.80 | $156.00 – $156.00 |