Brain image w/flow < 4 views at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$378.00
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.
$1,080.00
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.
$300.42 with Blue Shield vs $1,439.81 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 |
|---|---|---|---|
| Blue Shield | Epn/Ifp Benefit Exchange | $300.42 | ↓ -21% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $321.88 | ↓ -15% |
| Blue Shield | Hmo/Ppo/Epo | $359.84 | ↓ -5% |
| Aetna | All Commercial Plans | $424.58 | ↑ +12% |
| Blue Cross | All Commercial Plans | $479.10 | ↑ +27% |
| Aetna | Medicare Managed Care Plan | $514.17 | ↑ +36% |
| Humana | Choicecare Medicare Managed Care Plan | $524.46 | ↑ +39% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $538.69 | ↑ +43% |
| Central Health Plan | Medicare Managed Care Plan | $565.59 | ↑ +50% |
| Blue Shield | Medicare Managed Care Plan | $581.03 | ↑ +54% |
| Unitedhealthcare | Select/Navigate Hmo | $589.01 | ↑ +56% |
| Unitedhealthcare | All Commercial Plans | $589.01 | ↑ +56% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $606.72 | ↑ +61% |
| La Care Health Plan | Exchange | $668.42 | ↑ +77% |
| Healthnet | Ambetter Hmo | $951.22 | ↑ +152% |
| Healthnet | Ambetter Ppo | $1,100.33 | ↑ +191% |
| Cigna | Oap Hmo/Pos | $1,439.81 | ↑ +281% |
| Cigna | Ppo | $1,439.81 | ↑ +281% |
Visitor-reported prices
Comments
Brain image w/flow < 4 views at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $948.45 | $197.65 – $2,171.68 |
| Mark Twain Medical Center | San Andreas | $3,543.79 | $197.65 – $2,456.86 |
| French Hospital | San Luis Obispo | $868.68 | $197.65 – $2,171.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $365.44 | $197.65 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $361.50 | $197.65 – $1,976.45 |
| Queen of The Valley Medical Center | Napa | $988.38 | $567.62 – $991.43 |
| St. Joseph's Medical Center Stockton | Stockton | $2,888.26 | $197.65 – $4,027.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $699.36 | $437.05 – $951.22 |