Artery xray of abdomen 75726-26 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$3,242.88
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.
$6,756.00
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.
$999.29 with Aetna vs $13,240.19 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 |
|---|---|---|---|
| Aetna | Gatekeeper Hmo | $999.29 | ↓ -69% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $4,696.45 | ↑ +45% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $5,635.76 | ↑ +74% |
| Providence | Oscar All Commercial Plans | $6,083.33 | ↑ +88% |
| Aetna | Medicare Managed Care Plan | $7,156.86 | ↑ +121% |
| Unitedhealthcare | All Commercial Plans | $7,353.90 | ↑ +127% |
| Unitedhealthcare | Select/Navigate Hmo | $7,353.90 | ↑ +127% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7,498.09 | ↑ +131% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $8,444.98 | ↑ +160% |
| Healthnet | Ambetter Hmo | $13,240.19 | ↑ +308% |
Visitor-reported prices
Comments
Artery xray of abdomen 75726-26 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,076.47 | $282.67 – $23,085.47 |
| Arroyo Grande Hospital | Santa Maria | $7,390.71 | $186.84 – $22,418.12 |
| French Hospital | San Luis Obispo | $6,154.01 | $186.84 – $26,354.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,889.20 | $186.84 – $25,002.66 |
| Bakersfield Memorial Hospital | Bakersfield | $4,030.40 | $186.84 – $25,002.66 |
| Queen of The Valley Medical Center | Napa | $12,254.79 | $1,416.75 – $7,353.90 |
| Providence St Joseph Hospital Eureka | Eureka | $7,400.61 | $4,194.31 – $7,353.90 |
| St. Joseph's Medical Center Stockton | Stockton | $3,450.98 | $186.84 – $10,733.33 |