Bypass temp external fem-fem at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$378.72
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.
$789.00
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.
$685.79 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 | $685.79 | ↑ +81% |
| Aetna | Medicare Managed Care Plan | $806.82 | ↑ +113% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $845.28 | ↑ +123% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $952.03 | ↑ +151% |
| Healthnet | Ambetter Hmo | $1,492.61 | ↑ +294% |
| Unitedhealthcare | Select/Navigate Hmo | $1,894.00 | ↑ +400% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +428% |
| Unitedhealthcare | All Commercial Plans | $2,095.00 | ↑ +453% |
| Aetna | Gatekeeper Hmo | $4,114.00 | ↑ +986% |
| Blue Shield | Epn Exchange | $5,171.00 | ↑ +1265% |
| Blue Shield | Tandem Ppo | $6,425.00 | ↑ +1597% |
| Blue Shield | Hmo/Ppo | $7,143.00 | ↑ +1786% |
Visitor-reported prices
Comments
Bypass temp external fem-fem at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,322.94 | $845.36 – $2,695.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $563.92 | $410.40 – $1,216.00 |
| Bakersfield Memorial Hospital | Bakersfield | $557.84 | $760.00 – $1,200.80 |
| Queen of The Valley Medical Center | Napa | $1,009.80 | $890.68 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,641.40 | $806.82 – $5,835.00 |
| Healdsburg Hospital | Healdsburg | $602.82 | $845.19 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $981.24 | $3,331.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,139.27 | $872.87 – $2,741.00 |