Drainage of kidney lesion at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$977.20
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.
?
What you pay up front if you don't use insurance.
$2,792.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$910.78 with Aetna vs $7,309.00 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $910.78 | ↓ -7% |
| Humana | Choicecare Medicare Managed Care Plan | $928.99 | ↓ -5% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $954.20 | ↓ -2% |
| Central Health Plan | Medicare Managed Care Plan | $1,001.85 | ↑ +3% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,074.70 | ↑ +10% |
| Blue Shield | Medicare Managed Care Plan | $1,142.00 | ↑ +17% |
| La Care Health Plan | Exchange | $1,184.01 | ↑ +21% |
| Healthnet | Blue And Gold Other Commercial Plan | $1,484.00 | ↑ +52% |
| Healthnet | Ambetter Hmo | $1,684.94 | ↑ +72% |
| Healthnet | Ambetter Ppo | $1,949.06 | ↑ +99% |
| Unitedhealthcare | Select/Navigate Hmo | $2,109.00 | ↑ +116% |
| Healthnet | All Commercial Plans | $2,391.00 | ↑ +145% |
| Unitedhealthcare | All Commercial Plans | $2,397.00 | ↑ +145% |
| Cigna | Oap Hmo/Pos | $2,589.00 | ↑ +165% |
| Cigna | Ppo | $2,589.00 | ↑ +165% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,685.00 | ↑ +175% |
| Blue Cross | All Commercial Plans | $2,716.00 | ↑ +178% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,895.00 | ↑ +196% |
| Blue Shield | Hmo/Ppo/Epo | $3,217.00 | ↑ +229% |
| Multiplan | Beech Street All Commercial Plans | $7,309.00 | ↑ +648% |
Visitor-reported prices
Comments
Drainage of kidney lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $754.68 | $99.85 – $1,628.92 |
| Banner Lassen Medical Center | Susanville | $1,440.20 | $116.72 – $1,783.83 |
| Arroyo Grande Hospital | Santa Maria | $2,095.06 | $81.18 – $2,986.06 |
| Mark Twain Medical Center | San Andreas | $3,136.86 | $81.18 – $1,466.08 |
| French Hospital | San Luis Obispo | $1,918.84 | $81.18 – $1,940.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,576.38 | $81.18 – $1,044.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,559.39 | $81.18 – $1,031.74 |
| Queen of The Valley Medical Center | Napa | $2,637.72 | $1,005.45 – $6,200.00 |