Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,692.80
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.
?
What you pay up front if you don't use insurance.
$5,610.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$807.98 with Providence vs $9,559.00 with Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $807.98 | ↓ -70% |
| Aetna | Medicare Managed Care Plan | $950.57 | ↓ -65% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $995.89 | ↓ -63% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,121.66 | ↓ -58% |
| Healthnet | Ambetter Hmo | $1,758.55 | ↓ -35% |
| Unitedhealthcare | Select/Navigate Hmo | $3,281.00 | ↑ +22% |
| Unitedhealthcare | All Commercial Plans | $3,633.00 | ↑ +35% |
| Aetna | Gatekeeper Hmo | $4,114.00 | ↑ +53% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +99% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↑ +123% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +139% |
| Blue Shield | Epn Exchange | $6,920.00 | ↑ +157% |
| Blue Shield | Tandem Ppo | $8,598.00 | ↑ +219% |
| Blue Shield | Hmo/Ppo | $9,559.00 | ↑ +255% |
Visitor-reported prices
Comments
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,012.60 | $101.91 – $1,806.00 |
| Petaluma Valley Hospital | Petaluma | $3,513.90 | $995.98 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $152.52 | $59.25 – $224.42 |
| Bakersfield Memorial Hospital | Bakersfield | $918.97 | $82.85 – $1,753.00 |
| Queen of The Valley Medical Center | Napa | $3,803.07 | $1,049.38 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,397.11 | $950.57 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $2,332.74 | $995.78 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,200.65 | $8,005.00 – $25,998.00 |