Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,446.72
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.
$3,014.00
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.
$771.70 with Providence vs $6,428.00 with Blue Cross — 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 | $771.70 | ↓ -47% |
| Aetna | Medicare Managed Care Plan | $907.88 | ↓ -37% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $951.17 | ↓ -34% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,071.29 | ↓ -26% |
| Blue Shield | Epn Exchange | $1,597.00 | ↑ +10% |
| Healthnet | Ambetter Hmo | $1,679.58 | ↑ +16% |
| Unitedhealthcare | Select/Navigate Hmo | $1,894.00 | ↑ +31% |
| Blue Shield | Tandem Ppo | $1,984.00 | ↑ +37% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +38% |
| Unitedhealthcare | All Commercial Plans | $2,095.00 | ↑ +45% |
| Blue Shield | Hmo/Ppo | $2,206.00 | ↑ +52% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↑ +137% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +270% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +344% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,106.83 | $63.59 – $1,617.30 |
| Petaluma Valley Hospital | Petaluma | $1,305.09 | $593.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,242.92 | $51.70 – $2,656.78 |
| French Hospital | San Luis Obispo | $1,022.73 | $51.70 – $1,919.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $264.90 | $51.70 – $714.00 |
| Bakersfield Memorial Hospital | Bakersfield | $262.04 | $51.70 – $714.00 |
| Queen of The Valley Medical Center | Napa | $2,007.36 | $1,002.25 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $8,347.17 | $907.88 – $8,018.00 |