Radiation physics consult at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$201.25
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.
$575.00
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.
$117.98 with Aetna vs $643.24 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 |
|---|---|---|---|
| Aetna | All Commercial Plans | $117.98 | ↓ -41% |
| Aetna | Medicare Managed Care Plan | $172.87 | ↓ -14% |
| Humana | Choicecare Medicare Managed Care Plan | $176.33 | ↓ -12% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $181.11 | ↓ -10% |
| Central Health Plan | Medicare Managed Care Plan | $190.16 | ↓ -6% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $203.99 | ↑ +1% |
| La Care Health Plan | Exchange | $224.73 | ↑ +12% |
| Blue Shield | Epn/Ifp Benefit Exchange | $263.57 | ↑ +31% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $282.40 | ↑ +40% |
| Blue Shield | Hmo/Ppo/Epo | $315.71 | ↑ +57% |
| Healthnet | Ambetter Hmo | $319.81 | ↑ +59% |
| Healthnet | Ambetter Ppo | $369.95 | ↑ +84% |
| Blue Shield | Medicare Managed Care Plan | $509.76 | ↑ +153% |
| Blue Cross | All Commercial Plans | $643.24 | ↑ +220% |
Visitor-reported prices
Comments
Radiation physics consult at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $470.42 | $119.53 – $934.38 |
| Arroyo Grande Hospital | Santa Maria | $312.87 | $79.01 – $11,311.00 |
| Queen of The Valley Medical Center | Napa | $1,828.35 | $190.84 – $775.99 |
| Providence St Joseph Hospital Eureka | Eureka | $1,032.75 | $172.87 – $879.97 |
| St. Joseph's Medical Center Stockton | Stockton | $279.30 | $79.01 – $950.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,735.02 | $187.03 – $660.18 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $523.68 | $146.94 – $319.81 |
| Mercy Medical Center Merced | Merced | $369.77 | $79.01 – $718.00 |