Bone imaging multiple areas 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.
$437.05 with Providence vs $1,559.35 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 | $437.05 | ↓ -70% |
| Aetna | Medicare Managed Care Plan | $514.17 | ↓ -64% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $538.69 | ↓ -63% |
| Unitedhealthcare | All Commercial Plans | $589.01 | ↓ -59% |
| Unitedhealthcare | Select/Navigate Hmo | $589.01 | ↓ -59% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $606.72 | ↓ -58% |
| Healthnet | Ambetter Hmo | $951.22 | ↓ -34% |
| Aetna | Gatekeeper Hmo | $1,094.77 | ↓ -24% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,299.45 | ↓ -10% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,559.35 | ↑ +8% |
Visitor-reported prices
Comments
Bone imaging multiple areas at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,368.75 | $245.04 – $2,437.50 |
| Banner Lassen Medical Center | Susanville | $1,541.96 | $80.37 – $2,229.06 |
| Mark Twain Medical Center | San Andreas | $3,613.72 | $161.97 – $2,875.32 |
| Mercy Hospitals – Bakersfield | Bakersfield | $673.37 | $161.97 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $666.11 | $161.97 – $1,976.45 |
| Queen of The Valley Medical Center | Napa | $2,244.00 | $567.62 – $1,023.38 |
| St. Joseph's Medical Center Stockton | Stockton | $3,244.59 | $161.97 – $4,524.76 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,677.39 | $556.27 – $870.65 |