Oncology tum unknown origin 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.
$3,750.00 with Aetna vs $12,055.47 with Blue Cross — 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 | $3,750.00 | — |
| Humana | Choicecare Medicare Managed Care Plan | $3,825.00 | — |
| Central Health Plan | Medicare Managed Care Plan | $4,125.00 | — |
| La Care Health Plan | Exchange | $4,875.00 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $5,319.00 | — |
| Aetna | All Commercial Plans | $5,411.33 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,989.88 | — |
| Cigna | Oap Hmo/Pos | $6,605.63 | — |
| Cigna | Ppo | $6,605.63 | — |
| Healthnet | Ambetter Hmo | $6,937.50 | — |
| Unitedhealthcare | Select/Navigate Hmo | $7,500.00 | — |
| First Health/Coventry | Coventry All Commercial Plans | $7,500.00 | — |
| Unitedhealthcare | All Commercial Plans | $7,500.00 | — |
| Healthnet | Ambetter Ppo | $8,025.00 | — |
| Blue Cross | All Commercial Plans | $12,055.47 | — |
Visitor-reported prices
Comments
Oncology tum unknown origin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,695.50 | $2,470.00 – $4,655.00 |
| Mercy Medical Center Redding | Redding | $2,408.25 | $3,610.00 – $4,655.00 |
| St. Elizabeth Community Hospital | Red Bluff | $2,774.00 | $2,327.50 – $4,655.00 |
| Petaluma Valley Hospital | Petaluma | not published | $3,675.00 – $18,506.77 |
| Queen of The Valley Medical Center | Napa | not published | $3,750.00 – $23,387.96 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $3,750.00 – $44,203.57 |
| Healdsburg Hospital | Healdsburg | not published | $3,750.00 – $10,580.01 |
| Redwood Memorial Hospital | Fortuna | not published | $44,306.84 – $44,306.84 |