Pet image skull-thigh 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.
$1,839.15 with Aetna vs $6,363.87 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 | $1,839.15 | — |
| Humana | Choicecare Medicare Managed Care Plan | $1,875.94 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,926.84 | — |
| Central Health Plan | Medicare Managed Care Plan | $2,023.07 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,170.17 | — |
| Unitedhealthcare | Select/Navigate Hmo | $2,308.94 | — |
| Unitedhealthcare | All Commercial Plans | $2,308.94 | — |
| La Care Health Plan | Exchange | $2,390.90 | — |
| Blue Cross | All Commercial Plans | $3,232.02 | — |
| Aetna | All Commercial Plans | $3,270.00 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $3,290.41 | — |
| Healthnet | Ambetter Hmo | $3,402.43 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $3,525.44 | — |
| Healthnet | Ambetter Ppo | $3,935.79 | — |
| Blue Shield | Hmo/Ppo/Epo | $3,941.26 | — |
| Blue Shield | Medicare Managed Care Plan | $6,363.87 | — |
Visitor-reported prices
Comments
Pet image skull-thigh at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Queen of The Valley Medical Center | Napa | $2,504.10 | $2,030.33 – $6,688.23 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,021.92 | $1,563.28 – $3,402.43 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,784.97 | $1,167.60 – $4,865.00 |
| Mercy Medical Center Merced | Merced | $2,386.00 | $1,527.04 – $2,386.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $3,957.79 | $1,916.73 – $7,116.76 |
| Providence St Joseph Hospital Orange | Orange | $3,145.44 | $1,563.28 – $3,402.43 |
| Mercy Medical Center Redding | Redding | $6,637.14 | $1,853.28 – $12,829.18 |
| St. Elizabeth Community Hospital | Red Bluff | $2,636.76 | $1,853.28 – $4,515.00 |