Biospy of bladder at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$5,367.95
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.
$15,337.00
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.
$321.35 with Aetna vs $4,890.00 with Cigna — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $321.35 | ↓ -94% |
| Humana | Choicecare Medicare Managed Care Plan | $327.77 | ↓ -94% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $336.67 | ↓ -94% |
| Central Health Plan | Medicare Managed Care Plan | $353.48 | ↓ -93% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $379.18 | ↓ -93% |
| La Care Health Plan | Exchange | $417.75 | ↓ -92% |
| Healthnet | Ambetter Hmo | $594.49 | ↓ -89% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↓ -89% |
| Healthnet | Ambetter Ppo | $687.68 | ↓ -87% |
| Healthnet | All Commercial Plans | $970.00 | ↓ -82% |
| Blue Shield | Medicare Managed Care Plan | $1,142.00 | ↓ -79% |
| Unitedhealthcare | Select/Navigate Hmo | $1,528.00 | ↓ -72% |
| Unitedhealthcare | All Commercial Plans | $1,738.00 | ↓ -68% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,685.00 | ↓ -50% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,895.00 | ↓ -46% |
| Blue Shield | Hmo/Ppo/Epo | $3,217.00 | ↓ -40% |
| Cigna | Oap Hmo/Pos | $4,768.00 | ↓ -11% |
| Cigna | Ppo | $4,890.00 | ↓ -9% |
Visitor-reported prices
Comments
Biospy of bladder at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $141.92 | $87.48 – $539.32 |
| Petaluma Valley Hospital | Petaluma | $3,798.99 | $336.70 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $159.65 | $205.15 – $365.54 |
| Mark Twain Medical Center | San Andreas | $408.26 | $158.59 – $600.74 |
| French Hospital | San Luis Obispo | $145.44 | $100.17 – $363.58 |
| Queen of The Valley Medical Center | Napa | $3,900.48 | $354.75 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,430.88 | $321.35 – $5,835.00 |
| Healdsburg Hospital | Healdsburg | $219.30 | $336.63 – $3,982.87 |