Brace kafo dbl upright cust 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.
$2,549.08 with Aetna vs $5,455.03 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 | $2,549.08 | — |
| Humana | Choicecare Medicare Managed Care Plan | $2,600.06 | — |
| Central Health Plan | Medicare Managed Care Plan | $2,803.99 | — |
| La Care Health Plan | Exchange | $3,313.80 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $3,544.72 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $3,991.81 | — |
| Healthnet | Ambetter Hmo | $4,715.80 | — |
| Healthnet | Ambetter Ppo | $5,455.03 | — |
Visitor-reported prices
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Brace kafo dbl upright cust at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Mt. Shasta | Mt Shasta | $7,955.83 | $1,451.28 – $5,926.06 |
| St. Mary Medical Center | Long Beach | $4,487.05 | $1,217.53 – $8,025.00 |
| Community Hospital San Bernardino | San Bernardino | $4,080.09 | $1,352.81 – $8,025.00 |
| Glendale Memorial Hospital Health Center | Glendale | $3,401.81 | $40.00 – $7,944.75 |
| Mercy San Juan Medical Center | Carmichael | $2,859.19 | $1,147.85 – $8,869.75 |
| Mercy Medical Center Redding | Redding | $4,259.82 | $1,092.96 – $4,968.00 |
| St. Bernardine Medical Center | San Bernardino | $3,474.86 | $1,352.81 – $6,764.05 |
| Mercy General Hospital | Sacramento | $2,274.83 | $1,352.81 – $9,287.15 |