Bx thigh/knee soft tiss supf 27323 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.
$1,142.00 with Blue Shield vs $7,309.00 with Multiplan — 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 | $1,142.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $2,109.00 | — |
| Aetna | Medicare Managed Care Plan | $2,124.23 | — |
| Humana | Choicecare Medicare Managed Care Plan | $2,166.71 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,225.51 | — |
| Central Health Plan | Medicare Managed Care Plan | $2,336.65 | — |
| Unitedhealthcare | All Commercial Plans | $2,397.00 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,506.56 | — |
| Cigna | Oap Hmo/Pos | $2,589.00 | — |
| Cigna | Ppo | $2,589.00 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,685.00 | — |
| Blue Cross | All Commercial Plans | $2,716.00 | — |
| La Care Health Plan | Exchange | $2,761.50 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,895.00 | — |
| Blue Shield | Hmo/Ppo/Epo | $3,217.00 | — |
| Healthnet | Ambetter Hmo | $3,929.83 | — |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | — |
| Healthnet | Ambetter Ppo | $4,545.85 | — |
| Healthnet | All Commercial Plans | $7,176.00 | — |
| Multiplan | Beech Street All Commercial Plans | $7,309.00 | — |
Visitor-reported prices
Comments
Bx thigh/knee soft tiss supf 27323 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $161.39 | $144.40 – $435.00 |
| Bakersfield Memorial Hospital | Bakersfield | $159.65 | $144.40 – $435.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,726.67 | $144.40 – $2,394.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,434.40 | $1,805.60 – $5,171.00 |
| Mercy Medical Center Merced | Merced | $2,263.43 | $144.40 – $1,894.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $4,014.47 | $144.40 – $4,500.16 |
| Mercy San Juan Medical Center | Carmichael | $2,601.91 | $144.40 – $7,881.68 |
| Mercy General Hospital | Sacramento | $2,070.13 | $144.40 – $7,596.80 |