Drainage of urethra abscess 53060 at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$1,731.10
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.
$4,946.00
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 $7,176.00 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 | ↓ -12% |
| Aetna | Medicare Managed Care Plan | $2,688.58 | ↑ +55% |
| Blue Cross | All Commercial Plans | $2,716.00 | ↑ +57% |
| Humana | Choicecare Medicare Managed Care Plan | $2,742.35 | ↑ +58% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,816.77 | ↑ +63% |
| Central Health Plan | Medicare Managed Care Plan | $2,957.44 | ↑ +71% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $3,172.48 | ↑ +83% |
| La Care Health Plan | Exchange | $3,495.16 | ↑ +102% |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,594.00 | ↑ +108% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,874.00 | ↑ +124% |
| Blue Shield | Hmo/Ppo/Epo | $4,305.00 | ↑ +149% |
| Healthnet | Blue And Gold Other Commercial Plan | $4,449.00 | ↑ +157% |
| Cigna | Oap Hmo/Pos | $4,768.00 | ↑ +175% |
| Cigna | Ppo | $4,890.00 | ↑ +182% |
| Healthnet | Ambetter Hmo | $4,973.88 | ↑ +187% |
| Healthnet | Ambetter Ppo | $5,753.57 | ↑ +232% |
| Unitedhealthcare | Select/Navigate Hmo | $6,035.00 | ↑ +249% |
| Unitedhealthcare | All Commercial Plans | $6,862.00 | ↑ +296% |
| Healthnet | All Commercial Plans | $7,176.00 | ↑ +315% |
Visitor-reported prices
Comments
Drainage of urethra abscess 53060 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,755.13 | $2,570.00 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $4,175.37 | $2,968.05 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,200.87 | $2,688.58 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $2,279.70 | $2,816.47 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $2,481.15 | $8,005.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,017.78 | $2,908.69 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,371.84 | $2,285.30 – $6,920.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,534.40 | $1,528.00 – $5,080.00 |