Surgical pathology level 3 gross & microscopic examination at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$97.65
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.
$279.00
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.
$49.00 with Blue Cross vs $143.43 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 Cross | All Commercial Plans | $49.00 | ↓ -50% |
| Cigna | Oap Hmo/Pos | $54.12 | ↓ -45% |
| Cigna | Ppo | $54.12 | ↓ -45% |
| Blue Shield | Epn/Ifp Benefit Exchange | $66.38 | ↓ -32% |
| Aetna | Medicare Managed Care Plan | $67.02 | ↓ -31% |
| Humana | Choicecare Medicare Managed Care Plan | $68.36 | ↓ -30% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $70.22 | ↓ -28% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $71.12 | ↓ -27% |
| Central Health Plan | Medicare Managed Care Plan | $73.73 | ↓ -24% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $79.09 | ↓ -19% |
| Blue Shield | Hmo/Ppo/Epo | $79.51 | ↓ -19% |
| La Care Health Plan | Exchange | $87.13 | ↓ -11% |
| Unitedhealthcare | Select/Navigate Hmo | $98.94 | ↑ +1% |
| Unitedhealthcare | All Commercial Plans | $98.94 | ↑ +1% |
| Aetna | All Commercial Plans | $116.43 | ↑ +19% |
| Healthnet | Ambetter Hmo | $123.99 | ↑ +27% |
| Blue Shield | Medicare Managed Care Plan | $128.38 | ↑ +31% |
| Healthnet | Ambetter Ppo | $143.43 | ↑ +47% |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $165.57 | $59.71 – $294.84 |
| Banner Lassen Medical Center | Susanville | $12.66 | $10.69 – $50.29 |
| Petaluma Valley Hospital | Petaluma | $316.71 | $70.23 – $98.94 |
| Arroyo Grande Hospital | Santa Maria | $14.30 | $16.70 – $79.36 |
| Mark Twain Medical Center | San Andreas | $85.25 | $8.65 – $33.41 |
| French Hospital | San Luis Obispo | $13.09 | $9.02 – $93.29 |
| Mercy Hospitals – Bakersfield | Bakersfield | $105.37 | $22.59 – $88.51 |
| Bakersfield Memorial Hospital | Bakersfield | $104.23 | $22.59 – $88.51 |