Insert pm/icd lead dual at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$4,652.20
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.
$13,292.00
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.
$3,757.00 with Blue Cross vs $35,214.00 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 Cross | All Commercial Plans | $3,757.00 | ↓ -19% |
| Blue Shield | Medicare Managed Care Plan | $4,589.00 | ↓ -1% |
| Cigna | Oap Hmo/Pos | $4,768.00 | ↑ +2% |
| Cigna | Ppo | $4,890.00 | ↑ +5% |
| Aetna | Medicare Managed Care Plan | $10,643.53 | ↑ +129% |
| Blue Shield | Epn/Ifp Benefit Exchange | $10,789.00 | ↑ +132% |
| Humana | Choicecare Medicare Managed Care Plan | $10,856.40 | ↑ +133% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $11,151.00 | ↑ +140% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $11,631.00 | ↑ +150% |
| Central Health Plan | Medicare Managed Care Plan | $11,707.89 | ↑ +152% |
| Unitedhealthcare | Select/Navigate Hmo | $12,477.00 | ↑ +168% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $12,559.20 | ↑ +170% |
| Blue Shield | Hmo/Ppo/Epo | $12,923.00 | ↑ +178% |
| La Care Health Plan | Exchange | $13,836.59 | ↑ +197% |
| Unitedhealthcare | All Commercial Plans | $14,186.00 | ↑ +205% |
| Healthnet | Ambetter Hmo | $19,690.54 | ↑ +323% |
| Healthnet | Blue And Gold Other Commercial Plan | $21,832.00 | ↑ +369% |
| Healthnet | Ambetter Ppo | $22,777.16 | ↑ +390% |
| Healthnet | All Commercial Plans | $35,214.00 | ↑ +657% |
Visitor-reported prices
Comments
Insert pm/icd lead dual at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,048.78 | $443.50 – $20,488.56 |
| Arroyo Grande Hospital | Santa Maria | $6,893.37 | $360.57 – $15,783.88 |
| French Hospital | San Luis Obispo | $6,442.52 | $360.57 – $16,106.30 |
| Bakersfield Memorial Hospital | Bakersfield | $5,438.21 | $360.57 – $11,706.22 |
| Providence St Joseph Hospital Eureka | Eureka | $20,155.71 | $8,018.00 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,979.86 | $360.57 – $19,942.44 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,289.60 | $5,357.00 – $20,774.00 |
| Mercy Medical Center Merced | Merced | $7,429.39 | $360.57 – $14,281.74 |