Blood count spun microhematocrit 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$6.17 with Aetna vs $22.57 with Blue Shield — 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 | All Commercial Plans | $6.17 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $6.32 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $6.92 | — |
| Aetna | Medicare Managed Care Plan | $7.00 | — |
| Humana | Choicecare Medicare Managed Care Plan | $7.14 | — |
| Blue Shield | Hmo/Ppo/Epo | $7.65 | — |
| Central Health Plan | Medicare Managed Care Plan | $7.70 | — |
| La Care Health Plan | Exchange | $9.10 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $9.93 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $11.18 | — |
| Blue Cross | All Commercial Plans | $11.78 | — |
| Cigna | Ppo | $12.33 | — |
| Cigna | Oap Hmo/Pos | $12.33 | — |
| Healthnet | Ambetter Hmo | $12.95 | — |
| Unitedhealthcare | Select/Navigate Hmo | $14.00 | — |
| First Health/Coventry | Coventry All Commercial Plans | $14.00 | — |
| Unitedhealthcare | All Commercial Plans | $14.00 | — |
| Healthnet | Ambetter Ppo | $14.98 | — |
| Blue Shield | Medicare Managed Care Plan | $22.57 | — |
Visitor-reported prices
Comments
Blood count spun microhematocrit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $50.83 | $2.85 – $20.12 |
| Bakersfield Memorial Hospital | Bakersfield | $50.28 | $2.85 – $20.12 |
| St. Joseph's Behavioral Health Center | Stockton | $78.23 | $7.00 – $109.60 |
| St. Joseph's Medical Center Stockton | Stockton | $40.58 | $2.91 – $113.16 |
| Mercy Medical Center Merced | Merced | $75.71 | $2.91 – $138.18 |
| Sequoia Hospital | Redwood City | $4.01 | $2.42 – $24.37 |
| Mercy San Juan Medical Center | Carmichael | $12.33 | $2.03 – $37.35 |
| Mercy Medical Center Redding | Redding | $12.17 | $2.03 – $23.52 |