Assay of procainamide w/metab at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$16.75 with Aetna vs $159.66 with Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $16.75 | — |
| Humana | Choicecare Medicare Managed Care Plan | $17.08 | — |
| Central Health Plan | Medicare Managed Care Plan | $18.42 | — |
| La Care Health Plan | Exchange | $21.78 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $23.76 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $26.75 | — |
| Cigna | Ppo | $29.51 | — |
| Cigna | Oap Hmo/Pos | $29.51 | — |
| Healthnet | Ambetter Hmo | $30.99 | — |
| Unitedhealthcare | All Commercial Plans | $33.50 | — |
| First Health/Coventry | Coventry All Commercial Plans | $33.50 | — |
| Unitedhealthcare | Select/Navigate Hmo | $33.50 | — |
| Healthnet | Ambetter Ppo | $35.84 | — |
| Aetna | All Commercial Plans | $43.67 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $44.71 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $48.93 | — |
| Blue Shield | Hmo/Ppo/Epo | $54.08 | — |
| Blue Cross | All Commercial Plans | $83.23 | — |
| Blue Shield | Medicare Managed Care Plan | $159.66 | — |
Visitor-reported prices
Comments
Assay of procainamide w/metab at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $11.89 | $3.35 – $24.57 |
| Mark Twain Medical Center | San Andreas | $27.90 | $16.75 – $41.05 |
| Northridge Hospital Medical Center | Northridge | $163.78 | $16.75 – $587.00 |
| St. Mary Medical Center | Long Beach | $11.18 | $6.50 – $106.80 |
| Community Hospital San Bernardino | San Bernardino | $10.17 | $5.20 – $106.80 |
| Glendale Memorial Hospital Health Center | Glendale | $8.48 | $5.20 – $37.36 |
| St. Bernardine Medical Center | San Bernardino | $8.66 | $6.76 – $106.80 |
| Petaluma Valley Hospital | Petaluma | not published | $16.42 – $136.29 |