Ot evaluation high complexity patient/family at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$220.50
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.
$630.00
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.
$111.48 with Aetna vs $238.57 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $111.48 | ↓ -49% |
| Humana | Choicecare Medicare Managed Care Plan | $113.71 | ↓ -48% |
| Central Health Plan | Medicare Managed Care Plan | $122.63 | ↓ -44% |
| La Care Health Plan | Exchange | $144.92 | ↓ -34% |
| Healthnet | Ambetter Hmo | $206.24 | ↓ -6% |
| Aetna | All Commercial Plans | $237.51 | ↑ +8% |
| Healthnet | Ambetter Ppo | $238.57 | ↑ +8% |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $222.95 | $127.51 – $509.00 |
| Petaluma Valley Hospital | Petaluma | $522.24 | $103.82 – $105.94 |
| Queen of The Valley Medical Center | Napa | $382.50 | $105.94 – $105.94 |
| Providence St Joseph Hospital Eureka | Eureka | $554.88 | $105.94 – $105.94 |
| Healdsburg Hospital | Healdsburg | $290.19 | $105.94 – $240.55 |
| Redwood Memorial Hospital | Fortuna | $477.36 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $480.93 | $103.82 – $105.94 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $315.36 | $94.76 – $206.24 |