Macroscopic exam arthropod at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$103.60
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.
$296.00
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.
$4.27 with Aetna vs $40.65 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 | $4.27 | ↓ -96% |
| Humana | Choicecare Medicare Managed Care Plan | $4.36 | ↓ -96% |
| Central Health Plan | Medicare Managed Care Plan | $4.70 | ↓ -95% |
| La Care Health Plan | Exchange | $5.55 | ↓ -95% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $6.06 | ↓ -94% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $6.82 | ↓ -93% |
| Cigna | Ppo | $7.53 | ↓ -93% |
| Cigna | Oap Hmo/Pos | $7.53 | ↓ -93% |
| Healthnet | Ambetter Hmo | $7.90 | ↓ -92% |
| Unitedhealthcare | All Commercial Plans | $8.54 | ↓ -92% |
| First Health/Coventry | Coventry All Commercial Plans | $8.54 | ↓ -92% |
| Unitedhealthcare | Select/Navigate Hmo | $8.54 | ↓ -92% |
| Healthnet | Ambetter Ppo | $9.14 | ↓ -91% |
| Aetna | All Commercial Plans | $11.14 | ↓ -89% |
| Blue Shield | Epn/Ifp Benefit Exchange | $11.38 | ↓ -89% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $12.46 | ↓ -88% |
| Blue Shield | Hmo/Ppo/Epo | $13.77 | ↓ -87% |
| Blue Cross | All Commercial Plans | $21.28 | ↓ -79% |
| Blue Shield | Medicare Managed Care Plan | $40.65 | ↓ -61% |
Visitor-reported prices
Comments
Macroscopic exam arthropod at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $32.96 | $3.41 – $75.46 |
| Mark Twain Medical Center | San Andreas | $7.12 | $3.80 – $10.47 |
| French Hospital | San Luis Obispo | $30.19 | $3.41 – $75.46 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $59.91 | $3.80 – $75.46 |
| Northridge Hospital Medical Center | Northridge | $50.78 | $3.80 – $182.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $76.85 | $3.80 – $28.52 |
| California Hospital Medical Center | Los Angeles | $63.54 | $3.42 – $103.49 |
| St. Mary Medical Center | Long Beach | $78.26 | $3.42 – $145.60 |