Upper ext fx orthosis rad/ul at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$872.75
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.
$2,493.57
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.
$559.71 with Aetna vs $1,197.78 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $559.71 | ↓ -36% |
| Humana | Choicecare Medicare Managed Care Plan | $570.90 | ↓ -35% |
| Central Health Plan | Medicare Managed Care Plan | $615.68 | ↓ -29% |
| La Care Health Plan | Exchange | $727.62 | ↓ -17% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $778.33 | ↓ -11% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $876.50 | ↑ +0% |
| Healthnet | Ambetter Hmo | $1,035.46 | ↑ +19% |
| Healthnet | Ambetter Ppo | $1,197.78 | ↑ +37% |
Visitor-reported prices
Comments
Upper ext fx orthosis rad/ul at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $734.02 | $420.74 – $1,680.70 |
| Mark Twain Medical Center | San Andreas | $233.77 | $90.81 – $351.00 |
| French Hospital | San Luis Obispo | $672.28 | $325.85 – $1,680.70 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,262.70 | $389.52 – $1,590.54 |
| St. Mary Medical Center | Long Beach | $189.20 | $88.00 – $2,103.70 |
| Providence Saint Joseph Medical Center | Burbank | $872.75 | $559.71 – $1,035.46 |
| Community Hospital San Bernardino | San Bernardino | $172.04 | $92.40 – $2,103.70 |
| Glendale Memorial Hospital Health Center | Glendale | $143.44 | $40.00 – $1,779.73 |