Bx/exc lymph node/open/superfic 38500 at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$3,510.50
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.
$10,030.00
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.
$1,528.00 with Blue Shield vs $11,827.00 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 |
|---|---|---|---|
| Blue Shield | Medicare Managed Care Plan | $1,528.00 | ↓ -56% |
| Cigna | Ppo | $3,463.00 | ↓ -1% |
| Cigna | Oap Hmo/Pos | $3,463.00 | ↓ -1% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,594.00 | ↑ +2% |
| Blue Cross | All Commercial Plans | $3,757.00 | ↑ +7% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,874.00 | ↑ +10% |
| Blue Shield | Hmo/Ppo/Epo | $4,305.00 | ↑ +23% |
| Aetna | Medicare Managed Care Plan | $5,035.90 | ↑ +43% |
| Humana | Choicecare Medicare Managed Care Plan | $5,136.62 | ↑ +46% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $5,276.01 | ↑ +50% |
| Central Health Plan | Medicare Managed Care Plan | $5,539.49 | ↑ +58% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,942.28 | ↑ +69% |
| Unitedhealthcare | Select/Navigate Hmo | $6,035.00 | ↑ +72% |
| La Care Health Plan | Exchange | $6,546.67 | ↑ +86% |
| Unitedhealthcare | All Commercial Plans | $6,862.00 | ↑ +95% |
| Multiplan | Beech Street All Commercial Plans | $7,309.00 | ↑ +108% |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332.00 | ↑ +109% |
| Healthnet | Ambetter Hmo | $9,316.42 | ↑ +165% |
| Healthnet | Ambetter Ppo | $10,776.83 | ↑ +207% |
| Healthnet | All Commercial Plans | $11,827.00 | ↑ +237% |
Visitor-reported prices
Comments
Bx/exc lymph node/open/superfic 38500 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $450.89 | $110.22 – $663.46 |
| Providence St Joseph Hospital Eureka | Eureka | $6,008.82 | $5,035.90 – $16,652.00 |
| St Jude Medical Center | Fullerton | $4,862.40 | $4,035.00 – $9,316.42 |
| St. John's Camarillo Hospital | Camarillo | not published | $135.57 – $8,628.88 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $110.22 – $4,865.48 |
| French Hospital | San Luis Obispo | not published | $110.22 – $4,865.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $110.22 – $4,865.48 |