Epidural/lumbar/sacral/ea add level64484 at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$428.75
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.
$1,225.00
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.
$1,142.00 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 | ↑ +166% |
| Unitedhealthcare | Select/Navigate Hmo | $1,528.00 | ↑ +256% |
| Unitedhealthcare | All Commercial Plans | $1,738.00 | ↑ +305% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,685.00 | ↑ +526% |
| Blue Cross | All Commercial Plans | $2,716.00 | ↑ +533% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,895.00 | ↑ +575% |
| Blue Shield | Hmo/Ppo/Epo | $3,217.00 | ↑ +650% |
| Cigna | Oap Hmo/Pos | $4,768.00 | ↑ +1012% |
| Cigna | Ppo | $4,890.00 | ↑ +1041% |
| Multiplan | Beech Street All Commercial Plans | $7,309.00 | ↑ +1605% |
Visitor-reported prices
Comments
Epidural/lumbar/sacral/ea add level64484 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $732.34 | $171.45 – $495.30 |
| Arroyo Grande Hospital | Santa Maria | $1,391.86 | $152.94 – $3,116.40 |
| Mark Twain Medical Center | San Andreas | $749.25 | $40.36 – $152.94 |
| French Hospital | San Luis Obispo | $1,246.56 | $152.94 – $1,855.14 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,001.70 | $152.94 – $1,175.69 |
| Bakersfield Memorial Hospital | Bakersfield | $484.81 | $152.94 – $1,307.79 |
| Queen of The Valley Medical Center | Napa | $6,021.06 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,659.03 | $2,699.00 – $21,319.00 |