CT uppr extremity w/o&w/dye at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$1,492.05
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.
$4,263.00
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.
$225.59 with Aetna vs $1,268.96 with Blue Shield — 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 | $225.59 | ↓ -85% |
| Humana | Choicecare Medicare Managed Care Plan | $230.11 | ↓ -85% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $236.35 | ↓ -84% |
| Central Health Plan | Medicare Managed Care Plan | $248.15 | ↓ -83% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $266.20 | ↓ -82% |
| Unitedhealthcare | Select/Navigate Hmo | $291.55 | ↓ -80% |
| Unitedhealthcare | All Commercial Plans | $291.55 | ↓ -80% |
| La Care Health Plan | Exchange | $293.27 | ↓ -80% |
| Healthnet | Ambetter Hmo | $417.35 | ↓ -72% |
| Healthnet | Ambetter Ppo | $482.77 | ↓ -68% |
| Blue Shield | Epn/Ifp Benefit Exchange | $656.11 | ↓ -56% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $702.98 | ↓ -53% |
| Aetna | All Commercial Plans | $731.67 | ↓ -51% |
| Blue Shield | Hmo/Ppo/Epo | $785.89 | ↓ -47% |
| Blue Cross | All Commercial Plans | $1,049.32 | ↓ -30% |
| Blue Shield | Medicare Managed Care Plan | $1,268.96 | ↓ -15% |
Visitor-reported prices
Comments
CT uppr extremity w/o&w/dye at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,261.88 | $226.19 – $2,247.18 |
| Banner Lassen Medical Center | Susanville | $1,114.10 | $408.13 – $1,899.26 |
| Petaluma Valley Hospital | Petaluma | $5,116.32 | $236.37 – $1,718.23 |
| Queen of The Valley Medical Center | Napa | $5,021.46 | $249.04 – $2,171.42 |
| Providence St Joseph Hospital Eureka | Eureka | $3,377.73 | $225.59 – $2,462.40 |
| Redwood Memorial Hospital | Fortuna | $2,212.38 | $2,468.15 – $2,468.15 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,486.87 | $244.06 – $1,847.36 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,289.12 | $191.76 – $417.35 |