3d ech img cgen car anomal at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$317.28
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.
$661.00
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.
$126.24 with Aetna vs $933.70 with Blue Cross — 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 | Gatekeeper Hmo | $126.24 | ↓ -60% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $778.08 | ↑ +145% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $933.70 | ↑ +194% |
Visitor-reported prices
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3d ech img cgen car anomal at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $1,319.48 | $908.82 – $3,298.68 |
| Queen of The Valley Medical Center | Napa | $795.60 | $144.01 – $584.37 |
| Santa Rosa Memorial Hospital | Santa Rosa | $795.60 | $145.67 – $497.16 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,820.52 | $561.60 – $2,293.20 |
| Dominican Hospital | Santa Cruz | $395.10 | $570.70 – $781.42 |
| Sierra Nevada Memorial Hospital | Grass Valley | $535.74 | $658.61 – $963.34 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $284.20 | $381.35 – $381.35 |
| St. Mary Medical Center | Long Beach | $406.35 | $236.25 – $945.00 |