Acetaminophen level at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$166.56
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.
$347.00
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.
$5.54 with Blue Cross vs $108.58 with Aetna — 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 Vivity City Of La Other Commercial Plan | $5.54 | ↓ -97% |
| Providence | Oscar All Commercial Plans | $15.84 | ↓ -90% |
| Aetna | Medicare Managed Care Plan | $18.64 | ↓ -89% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $29.77 | ↓ -82% |
| Healthnet | Ambetter Hmo | $34.48 | ↓ -79% |
| Unitedhealthcare | Select/Navigate Hmo | $37.28 | ↓ -78% |
| Unitedhealthcare | All Commercial Plans | $37.28 | ↓ -78% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $86.42 | ↓ -48% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $103.71 | ↓ -38% |
| Aetna | Gatekeeper Hmo | $108.58 | ↓ -35% |
Visitor-reported prices
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Acetaminophen level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $623.22 | $18.27 – $51.60 |
| Providence St Joseph Hospital Eureka | Eureka | $594.66 | $18.64 – $123.26 |
| Healdsburg Hospital | Healdsburg | $82.62 | $18.64 – $53.06 |
| Redwood Memorial Hospital | Fortuna | $420.24 | $123.55 – $123.55 |
| Santa Rosa Memorial Hospital | Santa Rosa | $600.78 | $18.27 – $55.48 |
| Sierra Nevada Memorial Hospital | Grass Valley | $39.79 | $14.91 – $71.54 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $163.80 | $18.64 – $37.28 |
| Sequoia Hospital | Redwood City | $26.58 | $14.91 – $64.91 |