Consultation pathology during surgery at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$190.05
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.
$543.00
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.
$58.70 with Cigna vs $162.37 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 |
|---|---|---|---|
| Cigna | Oap Hmo/Pos | $58.70 | ↓ -69% |
| Cigna | Ppo | $58.70 | ↓ -69% |
| Unitedhealthcare | All Commercial Plans | $66.86 | ↓ -65% |
| Unitedhealthcare | Select/Navigate Hmo | $66.86 | ↓ -65% |
| Aetna | All Commercial Plans | $68.69 | ↓ -64% |
| Aetna | Medicare Managed Care Plan | $75.87 | ↓ -60% |
| Humana | Choicecare Medicare Managed Care Plan | $77.39 | ↓ -59% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $79.49 | ↓ -58% |
| Central Health Plan | Medicare Managed Care Plan | $83.46 | ↓ -56% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $89.53 | ↓ -53% |
| La Care Health Plan | Exchange | $98.64 | ↓ -48% |
| Healthnet | Ambetter Hmo | $140.37 | ↓ -26% |
| Blue Cross | All Commercial Plans | $144.28 | ↓ -24% |
| Healthnet | Ambetter Ppo | $162.37 | ↓ -15% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $351.90 | $66.86 – $236.26 |
| Arroyo Grande Hospital | Santa Maria | $177.62 | $40.61 – $129.36 |
| Mark Twain Medical Center | San Andreas | $162.51 | $46.59 – $239.12 |
| French Hospital | San Luis Obispo | $162.68 | $35.64 – $129.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $79.77 | $34.50 – $102.43 |
| Bakersfield Memorial Hospital | Bakersfield | $78.91 | $34.50 – $102.43 |
| Queen of The Valley Medical Center | Napa | $286.11 | $66.86 – $298.57 |
| Providence St Joseph Hospital Eureka | Eureka | $591.09 | $66.86 – $338.58 |