Arthrd wrist lmtd without b1 grf at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$4,258.08
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.
$8,871.00
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.
$7,883.00 with Unitedhealthcare vs $21,313.00 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $7,883.00 | ↑ +85% |
| Providence | Oscar All Commercial Plans | $7,932.80 | ↑ +86% |
| Unitedhealthcare | All Commercial Plans | $8,704.00 | ↑ +104% |
| Aetna | Medicare Managed Care Plan | $9,332.70 | ↑ +119% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $9,777.67 | ↑ +130% |
| Blue Shield | Epn Exchange | $9,779.00 | ↑ +130% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $11,012.44 | ↑ +159% |
| Aetna | Gatekeeper Hmo | $11,790.00 | ↑ +177% |
| Blue Shield | Tandem Ppo | $12,151.00 | ↑ +185% |
| Blue Shield | Hmo/Ppo | $13,509.00 | ↑ +217% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,634.00 | ↑ +220% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,361.00 | ↑ +284% |
| Healthnet | Ambetter Hmo | $17,265.50 | ↑ +305% |
| Healthnet | Hmo/Pos/Ppo | $21,313.00 | ↑ +401% |
Visitor-reported prices
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Arthrd wrist lmtd without b1 grf at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $13,391.07 | $3,632.00 – $11,185.00 |
| Queen of The Valley Medical Center | Napa | $14,889.45 | $9,256.00 – $35,965.00 |
| Providence St Joseph Hospital Eureka | Eureka | $14,977.68 | $9,332.70 – $35,965.00 |
| Healdsburg Hospital | Healdsburg | $4,634.88 | $4,417.00 – $9,776.62 |
| Redwood Memorial Hospital | Fortuna | $8,846.46 | $11,059.00 – $46,797.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $14,326.92 | $4,233.00 – $11,377.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,165.75 | $2,160.00 – $16,065.00 |
| Providence Saint Joseph Medical Center | Burbank | $4,544.05 | $2,160.00 – $16,065.00 |