Aep thrshld est mlt freq i&r at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$251.04
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.
$523.00
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.
$236.06 with Providence vs $513.77 with Healthnet — 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $236.06 | ↓ -6% |
| Aetna | Medicare Managed Care Plan | $277.71 | ↑ +11% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $290.95 | ↑ +16% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $327.70 | ↑ +31% |
| Healthnet | Ambetter Hmo | $513.77 | ↑ +105% |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $268.94 | $158.31 – $702.96 |
| Queen of The Valley Medical Center | Napa | $543.15 | $306.58 – $306.58 |
| Northridge Hospital Medical Center | Northridge | $602.92 | $104.64 – $3,827.00 |
| St. Mary Medical Center | Long Beach | $401.19 | $94.18 – $933.00 |
| Providence Saint Joseph Medical Center | Burbank | $900.55 | $277.71 – $513.77 |
| Community Hospital San Bernardino | San Bernardino | $458.65 | $104.64 – $7,832.00 |
| Glendale Memorial Hospital Health Center | Glendale | $320.79 | $104.64 – $787.20 |
| St. Bernardine Medical Center | San Bernardino | $218.12 | $104.64 – $5,761.00 |