Tx closed distal humerus fx at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$1,489.25
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.
$4,255.00
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.
$317.26 with Aetna vs $4,890.00 with Cigna — 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 | $317.26 | ↓ -79% |
| Humana | Choicecare Medicare Managed Care Plan | $323.60 | ↓ -78% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $332.38 | ↓ -78% |
| Central Health Plan | Medicare Managed Care Plan | $348.98 | ↓ -77% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $374.36 | ↓ -75% |
| La Care Health Plan | Exchange | $412.43 | ↓ -72% |
| Healthnet | Ambetter Hmo | $586.92 | ↓ -61% |
| Healthnet | Blue And Gold Other Commercial Plan | $601.00 | ↓ -60% |
| Healthnet | Ambetter Ppo | $678.93 | ↓ -54% |
| Healthnet | All Commercial Plans | $970.00 | ↓ -35% |
| Blue Shield | Medicare Managed Care Plan | $1,142.00 | ↓ -23% |
| Unitedhealthcare | Select/Navigate Hmo | $1,528.00 | ↑ +3% |
| Unitedhealthcare | All Commercial Plans | $1,738.00 | ↑ +17% |
| Blue Shield | Epn/Ifp Benefit Exchange | $2,685.00 | ↑ +80% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $2,895.00 | ↑ +94% |
| Blue Shield | Hmo/Ppo/Epo | $3,217.00 | ↑ +116% |
| Cigna | Oap Hmo/Pos | $4,768.00 | ↑ +220% |
| Cigna | Ppo | $4,890.00 | ↑ +228% |
Visitor-reported prices
Comments
Tx closed distal humerus fx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $259.33 | $188.73 – $559.20 |
| Bakersfield Memorial Hospital | Bakersfield | $256.54 | $188.73 – $552.21 |
| St. Joseph's Medical Center Stockton | Stockton | $333.11 | $115.50 – $462.00 |
| Mercy Medical Center Merced | Merced | $366.68 | $101.64 – $304.92 |
| St. John's Camarillo Hospital | Camarillo | not published | $304.79 – $519.60 |
| Petaluma Valley Hospital | Petaluma | not published | $332.41 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $304.79 – $304.79 |
| French Hospital | San Luis Obispo | not published | $304.79 – $304.79 |