Phlebotomy therapeutic at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$164.50
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.
$470.00
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.
$38.54 with Blue Shield vs $2,716.00 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 |
|---|---|---|---|
| Blue Shield | Epn/Ifp Benefit Exchange | $38.54 | ↓ -77% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $41.29 | ↓ -75% |
| Blue Shield | Hmo/Ppo/Epo | $46.16 | ↓ -72% |
| Blue Shield | Medicare Managed Care Plan | $74.53 | ↓ -55% |
| Aetna | Medicare Managed Care Plan | $171.12 | ↑ +4% |
| Humana | Choicecare Medicare Managed Care Plan | $174.54 | ↑ +6% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $179.28 | ↑ +9% |
| Central Health Plan | Medicare Managed Care Plan | $188.23 | ↑ +14% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $201.92 | ↑ +23% |
| La Care Health Plan | Exchange | $222.46 | ↑ +35% |
| Healthnet | Ambetter Hmo | $316.58 | ↑ +92% |
| Healthnet | Ambetter Ppo | $366.20 | ↑ +123% |
| Blue Cross | All Commercial Plans | $2,716.00 | ↑ +1551% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $155.93 | $23.15 – $291.44 |
| Banner Lassen Medical Center | Susanville | $157.14 | $25.78 – $236.68 |
| Petaluma Valley Hospital | Petaluma | $235.11 | $179.30 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $154.94 | $18.82 – $999.00 |
| Mark Twain Medical Center | San Andreas | $305.70 | $18.82 – $449.82 |
| French Hospital | San Luis Obispo | $141.91 | $18.82 – $354.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $96.84 | $18.82 – $253.17 |
| Bakersfield Memorial Hospital | Bakersfield | $95.79 | $18.82 – $229.89 |