Ins pm gen exist dual lead at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$11,060.70
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.
$31,602.00
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 $93,018.00 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 | $1,142.00 | ↓ -90% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,685.00 | ↓ -76% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,895.00 | ↓ -74% |
| Blue Shield | Hmo/Ppo/Epo | $3,217.00 | ↓ -71% |
| Blue Cross | All Commercial Plans | $3,757.00 | ↓ -66% |
| Cigna | Oap Hmo/Pos | $4,768.00 | ↓ -57% |
| Cigna | Ppo | $4,890.00 | ↓ -56% |
| Aetna | Medicare Managed Care Plan | $28,608.96 | ↑ +159% |
| Humana | Choicecare Medicare Managed Care Plan | $29,181.13 | ↑ +164% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $29,972.98 | ↑ +171% |
| Central Health Plan | Medicare Managed Care Plan | $31,469.85 | ↑ +185% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $33,758.11 | ↑ +205% |
| La Care Health Plan | Exchange | $37,191.64 | ↑ +236% |
| Healthnet | Ambetter Hmo | $52,926.57 | ↑ +379% |
| Unitedhealthcare | Select/Navigate Hmo | $55,220.00 | ↑ +399% |
| Healthnet | Blue And Gold Other Commercial Plan | $57,671.00 | ↑ +421% |
| Healthnet | Ambetter Ppo | $61,223.17 | ↑ +454% |
| Unitedhealthcare | All Commercial Plans | $62,791.00 | ↑ +468% |
| Healthnet | All Commercial Plans | $93,018.00 | ↑ +741% |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $31,547.39 | $473.13 – $57,040.26 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $5,592.00 – $113,226.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,018.24 | $5,171.00 – $52,926.57 |
| Dominican Hospital | Santa Cruz | $1,965.15 | $312.73 – $13,668.71 |
| Northridge Hospital Medical Center | Northridge | $12,818.66 | $312.73 – $45,945.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $5,004.30 | $1,142.00 – $52,926.57 |
| California Hospital Medical Center | Los Angeles | $47,444.16 | $281.46 – $77,280.17 |
| Providence Saint Joseph Medical Center | Burbank | $9,596.30 | $1,142.00 – $52,926.57 |