Block brachial plexus w/cath plmt w/img at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$548.64
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.
$1,143.00
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.
$966.94 with Providence vs $7,143.00 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 | $966.94 | ↑ +76% |
| Aetna | Medicare Managed Care Plan | $1,137.58 | ↑ +107% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,191.82 | ↑ +117% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,342.33 | ↑ +145% |
| Unitedhealthcare | Select/Navigate Hmo | $1,894.00 | ↑ +245% |
| Unitedhealthcare | All Commercial Plans | $2,095.00 | ↑ +282% |
| Healthnet | Ambetter Hmo | $2,104.52 | ↑ +284% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↑ +525% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +531% |
| Blue Shield | Epn Exchange | $5,171.00 | ↑ +843% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +876% |
| Blue Shield | Tandem Ppo | $6,425.00 | ↑ +1071% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +1072% |
| Blue Shield | Hmo/Ppo | $7,143.00 | ↑ +1202% |
Visitor-reported prices
Comments
Block brachial plexus w/cath plmt w/img at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $244.31 | $120.54 – $285.18 |
| Petaluma Valley Hospital | Petaluma | $1,725.84 | $1,191.92 – $2,695.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $960.89 | $122.61 – $2,072.00 |
| Bakersfield Memorial Hospital | Bakersfield | $950.53 | $122.61 – $2,046.10 |
| Queen of The Valley Medical Center | Napa | $1,918.62 | $1,255.83 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,498.82 | $1,137.58 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,047.03 | $1,191.69 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,139.85 | $5,981.00 – $20,799.00 |