Skyla, 13.5 mg 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.
$1,031.61 with Blue Shield vs $2,782.34 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 | Medicare Managed Care Plan | $1,031.61 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,152.98 | — |
| Blue Shield | Hmo/Ppo/Epo | $1,152.98 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,152.98 | — |
| Cigna | Oap Hmo/Pos | $2,052.90 | — |
| Cigna | Ppo | $2,052.90 | — |
| Unitedhealthcare | All Commercial Plans | $2,609.37 | — |
| Unitedhealthcare | Select/Navigate Hmo | $2,609.37 | — |
| Blue Cross | All Commercial Plans | $2,782.34 | — |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3,300.54 | $1,011.38 – $4,856.65 |
| Northridge Hospital Medical Center | Northridge | $840.63 | $602.60 – $4,642.23 |
| Mercy San Juan Medical Center | Carmichael | $1,300.13 | $521.95 – $3,938.35 |
| Mercy General Hospital | Sacramento | $1,034.41 | $832.22 – $3,796.00 |
| Mercy Hospital of Folsom | Folsom | $1,845.81 | $521.95 – $3,890.90 |
| Woodland Memorial Hospital | Woodland | $1,300.13 | $521.95 – $4,745.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,366.56 | $857.48 – $2,591.26 |
| Providence Saint John's Health Center | Santa Monica | $436.84 | $1,031.61 – $2,609.37 |