Abatacept (with maltose) 250 mg intravenous solution at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
not published by hospital
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.
not published by hospital
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.
$33.11 with Blue Cross vs $93.27 with Unitedhealthcare — 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 |
|---|---|---|---|
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $33.11 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $33.11 | — |
| Providence | Oscar All Commercial Plans | $38.01 | — |
| Aetna | Medicare Managed Care Plan | $44.72 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $62.13 | — |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $62.20 | — |
| Cigna | All Other Ppo | $62.20 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $69.96 | — |
| Healthnet | Ambetter Hmo | $82.73 | — |
| Aetna | Gatekeeper Hmo | $88.99 | — |
| Unitedhealthcare | All Commercial Plans | $93.27 | — |
| Unitedhealthcare | Select/Navigate Hmo | $93.27 | — |
Visitor-reported prices
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Abatacept (with maltose) 250 mg intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $6,037.80 | $44.32 – $13,824.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,591.44 | $37.21 – $3,744.80 |
| Bakersfield Memorial Hospital | Bakersfield | $2,563.50 | $39.94 – $3,697.99 |
| Queen of The Valley Medical Center | Napa | $3,484.68 | $27.08 – $93.27 |
| Providence St Joseph Hospital Eureka | Eureka | $3,484.68 | $32.30 – $93.27 |
| St. Joseph's Medical Center Stockton | Stockton | $1,676.98 | $48.19 – $3,134.86 |
| Mercy Medical Center Merced | Merced | $3,525.18 | $28.72 – $4,311.78 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $36.76 – $6,800.00 |