Brace fx hum ovr shldr sm at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$472.36
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.
$1,349.61
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.
$463.50 with Aetna vs $991.89 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $463.50 | ↓ -2% |
| Humana | Choicecare Medicare Managed Care Plan | $472.77 | ↑ +0% |
| Central Health Plan | Medicare Managed Care Plan | $509.85 | ↑ +8% |
| La Care Health Plan | Exchange | $602.55 | ↑ +28% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $644.54 | ↑ +36% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $725.83 | ↑ +54% |
| Healthnet | Ambetter Hmo | $857.48 | ↑ +82% |
| Healthnet | Ambetter Ppo | $991.89 | ↑ +110% |
Visitor-reported prices
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Brace fx hum ovr shldr sm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $751.17 | $315.84 – $1,026.48 |
| Petaluma Valley Hospital | Petaluma | $1,155.22 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield | $417.38 | $281.25 – $1,012.50 |
| Bakersfield Memorial Hospital | Bakersfield | $412.88 | $281.25 – $1,091.25 |
| Queen of The Valley Medical Center | Napa | $1,029.79 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $1,237.73 | not published |
| Healdsburg Hospital | Healdsburg | $639.64 | not published |
| Redwood Memorial Hospital | Fortuna | $1,237.73 | not published |