Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$2,636.55
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.
$7,533.00
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.
$353.00 with Blue Shield vs $7,994.93 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 | Medicare Managed Care Plan | $353.00 | ↓ -87% |
| Blue Shield | Epn/Ifp Benefit Exchange | $829.00 | ↓ -69% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $894.00 | ↓ -66% |
| Blue Shield | Hmo/Ppo/Epo | $993.00 | ↓ -62% |
| Cigna | Ppo | $2,589.00 | ↓ -2% |
| Cigna | Oap Hmo/Pos | $2,589.00 | ↓ -2% |
| Blue Cross | All Commercial Plans | $2,716.00 | ↑ +3% |
| Unitedhealthcare | Select/Navigate Hmo | $3,094.00 | ↑ +17% |
| Unitedhealthcare | All Commercial Plans | $3,518.00 | ↑ +33% |
| Aetna | Medicare Managed Care Plan | $3,735.95 | ↑ +42% |
| Humana | Choicecare Medicare Managed Care Plan | $3,810.67 | ↑ +45% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $3,914.07 | ↑ +48% |
| Central Health Plan | Medicare Managed Care Plan | $4,109.54 | ↑ +56% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,408.36 | ↑ +67% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +69% |
| La Care Health Plan | Exchange | $4,856.73 | ↑ +84% |
| Healthnet | Ambetter Hmo | $6,911.51 | ↑ +162% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +172% |
| Healthnet | Ambetter Ppo | $7,994.93 | ↑ +203% |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,011.78 | $233.18 – $4,620.00 |
| Arroyo Grande Hospital | Santa Maria | $2,835.93 | $154.13 – $6,298.46 |
| Mark Twain Medical Center | San Andreas | $173.83 | $53.04 – $200.90 |
| French Hospital | San Luis Obispo | $2,493.52 | $154.13 – $4,870.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,550.63 | $154.13 – $3,819.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,523.13 | $154.13 – $3,771.46 |
| Queen of The Valley Medical Center | Napa | $5,139.78 | $1,727.00 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,972.90 | $1,802.00 – $9,858.00 |