Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$89.95
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.
?
What you pay up front if you don't use insurance.
$257.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$53.46 with Aetna vs $114.40 with Healthnet — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $53.46 | ↓ -41% |
| Humana | Choicecare Medicare Managed Care Plan | $54.53 | ↓ -39% |
| Central Health Plan | Medicare Managed Care Plan | $58.81 | ↓ -35% |
| La Care Health Plan | Exchange | $69.50 | ↓ -23% |
| Healthnet | Ambetter Hmo | $98.90 | ↑ +10% |
| Healthnet | Ambetter Ppo | $114.40 | ↑ +27% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $103.37 | $19.98 – $236.00 |
| Banner Lassen Medical Center | Susanville | $108.45 | $61.50 – $145.50 |
| Petaluma Valley Hospital | Petaluma | $707.37 | $63.97 – $65.28 |
| Queen of The Valley Medical Center | Napa | $242.76 | $65.28 – $65.28 |
| Providence St Joseph Hospital Eureka | Eureka | $86.19 | $65.28 – $65.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | $73.44 | $63.97 – $65.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $77.76 | $45.44 – $98.90 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $77.70 | not published |