X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at Providence Holy Cross Medical Center

15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$891.80

Cash price

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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.

$2,548.00

Gross charge

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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.

$230.94 with Blue Shield vs $1,229.72 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 →

Payer
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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
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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 Epn/Ifp Benefit Exchange $230.94 ↓ -74%
Blue Shield Tandem Ppo/Blue High Performance Ppo/Epo $247.44 ↓ -72%
Blue Shield Hmo/Ppo/Epo $276.62 ↓ -69%
Blue Cross All Commercial Plans $328.20 ↓ -63%
Aetna All Commercial Plans $397.57 ↓ -55%
Blue Shield Medicare Managed Care Plan $446.66 ↓ -50%
Aetna Medicare Managed Care Plan $448.71 ↓ -50%
Humana Choicecare Medicare Managed Care Plan $457.68 ↓ -49%
Blue Cross Anthem Vivity City Of La Other Commercial Plan $470.10 ↓ -47%
Central Health Plan Medicare Managed Care Plan $493.58 ↓ -45%
Blue Cross Anthem Vivity Non City Of La Other Commercial Plan $529.47 ↓ -41%
La Care Health Plan Exchange $583.32 ↓ -35%
Unitedhealthcare Select/Navigate Hmo $610.96 ↓ -31%
Unitedhealthcare All Commercial Plans $610.96 ↓ -31%
Healthnet Ambetter Hmo $830.11 ↓ -7%
Healthnet Ambetter Ppo $960.24 ↑ +8%
Cigna Oap Hmo/Pos $1,229.72 ↑ +38%
Cigna Ppo $1,229.72 ↑ +38%

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,052.80 $476.00 – $476.00
St. John's Camarillo Hospital Camarillo $444.57 $122.43 – $1,782.69
Antioch Medical Center ANTIOCH $1,052.80 $476.00 – $476.00
Redwood City Medical Center Redwood City $1,052.80 $476.00 – $476.00
Santa Clara Medical Center SANTA CLARA $1,052.80 $476.00 – $476.00
Baldwin Park Medical Center BALDWIN PARK $806.00 $324.00 – $324.00
Riverside Medical Center RIVERSIDE $806.00 $324.00 – $324.00
Fremont Medical Center FREMONT $1,052.80 $476.00 – $476.00

All California hospitals for this procedure →