Ins/rpl pm gen exist dual lead at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$5,530.00
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.
$15,800.00
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.
$3,962.00 with Cigna vs $48,502.00 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 |
|---|---|---|---|
| Cigna | Oap Hmo/Pos | $3,962.00 | ↓ -28% |
| Cigna | Ppo | $3,962.00 | ↓ -28% |
| Blue Shield | Medicare Managed Care Plan | $4,589.00 | ↓ -17% |
| Multiplan | Beech Street All Commercial Plans | $7,309.00 | ↑ +32% |
| Blue Cross | All Commercial Plans | $7,953.00 | ↑ +44% |
| Blue Shield | Epn/Ifp Benefit Exchange | $10,789.00 | ↑ +95% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $11,631.00 | ↑ +110% |
| Blue Shield | Hmo/Ppo/Epo | $12,923.00 | ↑ +134% |
| Aetna | Medicare Managed Care Plan | $13,443.01 | ↑ +143% |
| Humana | Choicecare Medicare Managed Care Plan | $13,711.87 | ↑ +148% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $14,083.95 | ↑ +155% |
| Central Health Plan | Medicare Managed Care Plan | $14,787.31 | ↑ +167% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $15,862.54 | ↑ +187% |
| Unitedhealthcare | Select/Navigate Hmo | $16,107.00 | ↑ +191% |
| La Care Health Plan | Exchange | $17,475.92 | ↑ +216% |
| Unitedhealthcare | All Commercial Plans | $18,315.00 | ↑ +231% |
| Healthnet | Ambetter Hmo | $24,869.57 | ↑ +350% |
| Healthnet | Ambetter Ppo | $28,768.05 | ↑ +420% |
| Healthnet | Blue And Gold Other Commercial Plan | $30,073.00 | ↑ +444% |
| Healthnet | All Commercial Plans | $48,502.00 | ↑ +777% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,555.76 | $502.37 – $25,925.22 |
| Bakersfield Memorial Hospital | Bakersfield | $11,988.43 | $408.43 – $25,806.14 |
| Queen of The Valley Medical Center | Napa | $23,962.86 | $12,159.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,223.96 | $408.43 – $26,354.16 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $16,258.08 | $8,912.00 – $24,869.57 |
| Mercy Medical Center Merced | Merced | $16,379.58 | $408.43 – $31,486.95 |
| Northridge Hospital Medical Center | Northridge | $7,101.95 | $408.43 – $25,455.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $4,134.20 | $3,969.00 – $24,869.57 |