Artery x-rays lung at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$3,535.68
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.
$7,366.00
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.
$956.57 with Aetna vs $7,512.94 with Healthnet — 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 |
|---|---|---|---|
| Aetna | Gatekeeper Hmo | $956.57 | ↓ -73% |
| Unitedhealthcare | Select/Navigate Hmo | $2,609.81 | ↓ -26% |
| Unitedhealthcare | All Commercial Plans | $2,609.81 | ↓ -26% |
| Providence | Oscar All Commercial Plans | $3,451.89 | ↓ -2% |
| Aetna | Medicare Managed Care Plan | $4,061.05 | ↑ +15% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,254.67 | ↑ +20% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $4,722.38 | ↑ +34% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,791.97 | ↑ +36% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $5,666.88 | ↑ +60% |
| Healthnet | Ambetter Hmo | $7,512.94 | ↑ +112% |
Visitor-reported prices
Comments
Artery x-rays lung at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,672.73 | $266.42 – $13,858.31 |
| Arroyo Grande Hospital | Santa Maria | $5,143.71 | $176.10 – $13,457.70 |
| French Hospital | San Luis Obispo | $4,711.06 | $176.10 – $15,820.61 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,223.93 | $176.10 – $15,009.21 |
| Bakersfield Memorial Hospital | Bakersfield | $1,210.74 | $176.10 – $15,009.21 |
| St. Joseph's Medical Center Stockton | Stockton | $1,944.23 | $176.10 – $6,313.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,627.23 | $1,173.40 – $4,393.52 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,722.23 | $390.94 – $3,429.02 |