Mayo everolimus therapeutic drug level at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
not published by hospital
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.
not published by hospital
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.
$13.73 with Aetna vs $127.74 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 | $13.73 | — |
| Humana | Choicecare Medicare Managed Care Plan | $14.00 | — |
| Central Health Plan | Medicare Managed Care Plan | $15.10 | — |
| La Care Health Plan | Exchange | $17.85 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $19.47 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $21.93 | — |
| Cigna | Ppo | $24.17 | — |
| Cigna | Oap Hmo/Pos | $24.17 | — |
| Healthnet | Ambetter Hmo | $25.40 | — |
| Unitedhealthcare | All Commercial Plans | $27.46 | — |
| First Health/Coventry | Coventry All Commercial Plans | $27.46 | — |
| Unitedhealthcare | Select/Navigate Hmo | $27.46 | — |
| Healthnet | Ambetter Ppo | $29.38 | — |
| Aetna | All Commercial Plans | $34.71 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $35.77 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $39.15 | — |
| Blue Cross | All Commercial Plans | $42.01 | — |
| Blue Shield | Hmo/Ppo/Epo | $43.27 | — |
| Blue Shield | Medicare Managed Care Plan | $127.74 | — |
Visitor-reported prices
Comments
Mayo everolimus therapeutic drug level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $6.26 | $2.75 – $20.15 |
| Petaluma Valley Hospital | Petaluma | $57.12 | $13.46 – $64.52 |
| Arroyo Grande Hospital | Santa Maria | $8.56 | $10.00 – $35.36 |
| Mark Twain Medical Center | San Andreas | $13.32 | $10.83 – $19.60 |
| French Hospital | San Luis Obispo | $7.84 | $5.40 – $41.57 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7.42 | $10.00 – $39.44 |
| Bakersfield Memorial Hospital | Bakersfield | $7.34 | $10.00 – $39.44 |
| Queen of The Valley Medical Center | Napa | $57.12 | $13.73 – $81.54 |