X-ray surgical specimen at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$844.20
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.
$2,412.00
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.
$25.03 with Aetna vs $1,887.98 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 | All Commercial Plans | $25.03 | ↓ -97% |
| Blue Shield | Epn/Ifp Benefit Exchange | $36.00 | ↓ -96% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $38.58 | ↓ -95% |
| Blue Shield | Hmo/Ppo/Epo | $43.13 | ↓ -95% |
| Blue Cross | All Commercial Plans | $60.65 | ↓ -93% |
| Blue Shield | Medicare Managed Care Plan | $69.64 | ↓ -92% |
| Aetna | Medicare Managed Care Plan | $702.78 | ↓ -17% |
| Humana | Choicecare Medicare Managed Care Plan | $716.84 | ↓ -15% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $736.29 | ↓ -13% |
| Unitedhealthcare | Select/Navigate Hmo | $770.53 | ↓ -9% |
| Unitedhealthcare | All Commercial Plans | $770.53 | ↓ -9% |
| Central Health Plan | Medicare Managed Care Plan | $773.06 | ↓ -8% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $829.27 | ↓ -2% |
| La Care Health Plan | Exchange | $913.62 | ↑ +8% |
| Healthnet | Ambetter Hmo | $1,300.14 | ↑ +54% |
| Healthnet | Ambetter Ppo | $1,503.95 | ↑ +78% |
| Cigna | Oap Hmo/Pos | $1,887.98 | ↑ +124% |
| Cigna | Ppo | $1,887.98 | ↑ +124% |
Visitor-reported prices
Comments
X-ray surgical specimen at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $1,383.20 | $731.00 – $731.00 |
| St. John's Camarillo Hospital | Camarillo | $542.69 | $31.43 – $2,339.15 |
| Antioch Medical Center | ANTIOCH | $1,383.20 | $731.00 – $731.00 |
| Redwood City Medical Center | Redwood City | $1,383.20 | $731.00 – $731.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,383.20 | $731.00 – $731.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $1,222.00 | $498.00 – $498.00 |
| Riverside Medical Center | RIVERSIDE | $1,222.00 | $498.00 – $498.00 |
| Fremont Medical Center | FREMONT | $1,383.20 | $731.00 – $731.00 |