3d recon without postprocess indpndt at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$643.68
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.
$1,341.00
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.
$352.62 with Aetna vs $1,516.27 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 | $352.62 | ↓ -45% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,263.56 | ↑ +96% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,516.27 | ↑ +136% |
Visitor-reported prices
Comments
3d recon without postprocess indpndt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $167.76 | $103.41 – $383.00 |
| Banner Lassen Medical Center | Susanville | $205.72 | $121.36 – $287.12 |
| Mark Twain Medical Center | San Andreas | $882.45 | $98.31 – $372.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $427.03 | $301.42 – $1,130.00 |
| Bakersfield Memorial Hospital | Bakersfield | $822.45 | $290.65 – $1,139.49 |
| Providence St Joseph Hospital Eureka | Eureka | $565.08 | $1,128.46 – $1,128.46 |
| St. Joseph's Medical Center Stockton | Stockton | $763.82 | $192.53 – $3,330.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $136.68 | $432.46 – $846.60 |