Bx thigh/knee soft tiss supf 27323 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$3,434.40
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.
$7,155.00
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.
$1,805.60 with Providence vs $7,143.00 with Blue Shield — 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 | $1,805.60 | ↓ -47% |
| Unitedhealthcare | Select/Navigate Hmo | $1,894.00 | ↓ -45% |
| Unitedhealthcare | All Commercial Plans | $2,095.00 | ↓ -39% |
| Aetna | Medicare Managed Care Plan | $2,124.23 | ↓ -38% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,225.51 | ↓ -35% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,506.56 | ↓ -27% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↓ -0% |
| Healthnet | Ambetter Hmo | $3,929.83 | ↑ +14% |
| Blue Shield | Epn Exchange | $5,171.00 | ↑ +51% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +56% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↑ +75% |
| Blue Shield | Tandem Ppo | $6,425.00 | ↑ +87% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +87% |
| Blue Shield | Hmo/Ppo | $7,143.00 | ↑ +108% |
Visitor-reported prices
Comments
Bx thigh/knee soft tiss supf 27323 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $161.39 | $144.40 – $435.00 |
| Bakersfield Memorial Hospital | Bakersfield | $159.65 | $144.40 – $435.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,726.67 | $144.40 – $2,394.84 |
| Mercy Medical Center Merced | Merced | $2,263.43 | $144.40 – $1,894.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $4,014.47 | $144.40 – $4,500.16 |
| Mercy San Juan Medical Center | Carmichael | $2,601.91 | $144.40 – $7,881.68 |
| Mercy General Hospital | Sacramento | $2,070.13 | $144.40 – $7,596.80 |
| Mercy Hospital of Folsom | Folsom | $3,693.95 | $144.40 – $7,786.72 |