Gamunex-c/gammaked at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$255.15
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.
$729.00
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.
$49.73 with Aetna vs $192.74 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 | $49.73 | ↓ -81% |
| Humana | Choicecare Medicare Managed Care Plan | $50.72 | ↓ -80% |
| Central Health Plan | Medicare Managed Care Plan | $54.70 | ↓ -79% |
| La Care Health Plan | Exchange | $64.64 | ↓ -75% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $69.52 | ↓ -73% |
| Blue Shield | Medicare Managed Care Plan | $74.46 | ↓ -71% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $78.28 | ↓ -69% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $83.22 | ↓ -67% |
| Blue Shield | Epn/Ifp Benefit Exchange | $83.22 | ↓ -67% |
| Blue Shield | Hmo/Ppo/Epo | $83.22 | ↓ -67% |
| Healthnet | Ambetter Hmo | $91.99 | ↓ -64% |
| Cigna | Ppo | $96.22 | ↓ -62% |
| Cigna | Oap Hmo/Pos | $96.22 | ↓ -62% |
| Aetna | All Commercial Plans | $96.69 | ↓ -62% |
| Unitedhealthcare | Select/Navigate Hmo | $103.95 | ↓ -59% |
| Unitedhealthcare | All Commercial Plans | $103.95 | ↓ -59% |
| Healthnet | Ambetter Ppo | $106.41 | ↓ -58% |
| Blue Cross | All Commercial Plans | $192.74 | ↓ -24% |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,118.16 | $20.62 – $900.00 |
| Petaluma Valley Hospital | Petaluma | $3,195.43 | $48.73 – $103.95 |
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $52.23 – $1,136.80 |
| French Hospital | San Luis Obispo | $14,700.00 | $48.35 – $5,684.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,425.45 | $45.08 – $1,847.20 |
| Bakersfield Memorial Hospital | Bakersfield | $6,772.62 | $61.03 – $364.98 |
| Queen of The Valley Medical Center | Napa | $6,349.04 | $49.73 – $103.95 |
| Providence St Joseph Hospital Eureka | Eureka | $6,349.04 | $49.73 – $103.95 |