F-18 fluciclovine per mci at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
not published by hospital
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.
not published by hospital
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.
$322.27 with Aetna vs $1,572.40 with Blue Cross — 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 | $322.27 | — |
| Humana | Choicecare Medicare Managed Care Plan | $328.72 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $337.64 | — |
| Central Health Plan | Medicare Managed Care Plan | $354.50 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $380.27 | — |
| La Care Health Plan | Exchange | $418.95 | — |
| Unitedhealthcare | All Commercial Plans | $577.10 | — |
| Unitedhealthcare | Select/Navigate Hmo | $577.10 | — |
| Healthnet | Ambetter Hmo | $596.20 | — |
| Healthnet | Ambetter Ppo | $689.66 | — |
| Cigna | Oap Hmo/Pos | $1,048.69 | — |
| Cigna | Ppo | $1,048.69 | — |
| Blue Cross | All Commercial Plans | $1,572.40 | — |
Visitor-reported prices
Comments
F-18 fluciclovine per mci at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,689.91 | $341.05 – $3,644.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,671.69 | $341.05 – $3,598.45 |
| St. Joseph's Medical Center Stockton | Stockton | $1,339.17 | $323.71 – $1,867.96 |
| Mercy Medical Center Merced | Merced | $2,345.83 | $341.05 – $2,205.24 |
| Dominican Hospital | Santa Cruz | $11,194.20 | $368.77 – $21,144.60 |
| Sierra Nevada Memorial Hospital | Grass Valley | $2,474.30 | $352.73 – $4,449.20 |
| Sequoia Hospital | Redwood City | $1,813.82 | $393.64 – $4,086.06 |
| Mercy San Juan Medical Center | Carmichael | $1,243.96 | $332.62 – $3,768.20 |