Ghs sensitivity (per antimicro) at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$56.00
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.
$160.00
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.
$7.48 with Aetna vs $65.68 with Blue Shield — 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 | $7.48 | ↓ -87% |
| Humana | Choicecare Medicare Managed Care Plan | $7.63 | ↓ -86% |
| Central Health Plan | Medicare Managed Care Plan | $8.23 | ↓ -85% |
| La Care Health Plan | Exchange | $9.72 | ↓ -83% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $10.61 | ↓ -81% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $11.95 | ↓ -79% |
| Cigna | Ppo | $13.17 | ↓ -76% |
| Cigna | Oap Hmo/Pos | $13.17 | ↓ -76% |
| Healthnet | Ambetter Hmo | $13.84 | ↓ -75% |
| Unitedhealthcare | All Commercial Plans | $14.96 | ↓ -73% |
| First Health/Coventry | Coventry All Commercial Plans | $14.96 | ↓ -73% |
| Unitedhealthcare | Select/Navigate Hmo | $14.96 | ↓ -73% |
| Healthnet | Ambetter Ppo | $16.01 | ↓ -71% |
| Aetna | All Commercial Plans | $17.99 | ↓ -68% |
| Blue Shield | Epn/Ifp Benefit Exchange | $18.39 | ↓ -67% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $20.13 | ↓ -64% |
| Blue Shield | Hmo/Ppo/Epo | $22.25 | ↓ -60% |
| Blue Cross | All Commercial Plans | $34.33 | ↓ -39% |
| Blue Shield | Medicare Managed Care Plan | $65.68 | ↑ +17% |
Visitor-reported prices
Comments
Ghs sensitivity (per antimicro) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $35.15 | $1.50 – $61.11 |
| Arroyo Grande Hospital | Santa Maria | $22.69 | $6.07 – $34.27 |
| French Hospital | San Luis Obispo | $17.64 | $6.07 – $34.27 |
| Mercy Hospitals – Bakersfield | Bakersfield | $61.59 | $3.81 – $21.49 |
| Bakersfield Memorial Hospital | Bakersfield | $60.93 | $3.81 – $21.49 |
| St. Joseph's Behavioral Health Center | Stockton | $109.07 | $0.77 – $6.10 |
| St. Joseph's Medical Center Stockton | Stockton | $108.20 | $1.61 – $7.62 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $67.20 | $6.36 – $14.96 |