Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$90.65
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.
$259.00
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.
$37.56 with Blue Shield vs $111.58 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 |
|---|---|---|---|
| Blue Shield | Epn/Ifp Benefit Exchange | $37.56 | ↓ -59% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $40.24 | ↓ -56% |
| Blue Shield | Hmo/Ppo/Epo | $44.98 | ↓ -50% |
| Aetna | Medicare Managed Care Plan | $52.14 | ↓ -42% |
| Humana | Choicecare Medicare Managed Care Plan | $53.18 | ↓ -41% |
| Central Health Plan | Medicare Managed Care Plan | $57.35 | ↓ -37% |
| La Care Health Plan | Exchange | $67.78 | ↓ -25% |
| Blue Shield | Medicare Managed Care Plan | $72.64 | ↓ -20% |
| Healthnet | Ambetter Hmo | $96.46 | ↑ +6% |
| Healthnet | Ambetter Ppo | $111.58 | ↑ +23% |
Visitor-reported prices
Comments
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $108.63 | $31.32 – $248.00 |
| Banner Lassen Medical Center | Susanville | $82.42 | $46.74 – $110.58 |
| Petaluma Valley Hospital | Petaluma | $138.72 | $48.03 – $49.01 |
| Queen of The Valley Medical Center | Napa | $242.76 | $49.01 – $49.01 |
| Providence St Joseph Hospital Eureka | Eureka | $86.19 | $49.01 – $49.01 |
| Healdsburg Hospital | Healdsburg | $138.21 | $49.01 – $49.01 |
| Redwood Memorial Hospital | Fortuna | $74.46 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $78.03 | $48.03 – $49.01 |