Ablate bone tumor(s) cryo perq 20983 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$15,291.36
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.
$31,857.00
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.
$4,114.00 with Aetna vs $21,325.00 with Blue Shield — 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 | $4,114.00 | ↓ -73% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↓ -65% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↓ -58% |
| Providence | Oscar All Commercial Plans | $7,932.80 | ↓ -48% |
| Aetna | Medicare Managed Care Plan | $9,332.70 | ↓ -39% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $9,777.67 | ↓ -36% |
| Unitedhealthcare | Select/Navigate Hmo | $10,791.00 | ↓ -29% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $11,012.44 | ↓ -28% |
| Unitedhealthcare | All Commercial Plans | $11,921.00 | ↓ -22% |
| Blue Shield | Epn Exchange | $15,436.00 | ↑ +1% |
| Healthnet | Ambetter Hmo | $17,265.50 | ↑ +13% |
| Blue Shield | Tandem Ppo | $19,180.00 | ↑ +25% |
| Healthnet | Hmo/Pos/Ppo | $21,313.00 | ↑ +39% |
| Blue Shield | Hmo/Ppo | $21,325.00 | ↑ +39% |
Visitor-reported prices
Comments
Ablate bone tumor(s) cryo perq 20983 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,560.14 | $483.97 – $20,586.54 |
| Arroyo Grande Hospital | Santa Maria | $10,351.61 | $393.47 – $16,706.06 |
| French Hospital | San Luis Obispo | $9,480.92 | $393.47 – $16,706.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13,004.30 | $393.47 – $14,636.80 |
| Bakersfield Memorial Hospital | Bakersfield | $12,864.09 | $393.47 – $27,691.08 |
| St. Joseph's Medical Center Stockton | Stockton | $7,430.85 | $342.89 – $10,306.80 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $6,861.96 | $466.33 – $8,643.60 |
| Mercy Medical Center Merced | Merced | $9,559.95 | $393.47 – $7,995.00 |