Cardioversion/elective/internal 92961 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,044.96
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.
$2,177.00
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.
$722.57 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 | $722.57 | ↓ -31% |
| Aetna | Medicare Managed Care Plan | $850.08 | ↓ -19% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $890.62 | ↓ -15% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,003.09 | ↓ -4% |
| Healthnet | Ambetter Hmo | $1,572.66 | ↑ +50% |
| Unitedhealthcare | Select/Navigate Hmo | $1,894.00 | ↑ +81% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +91% |
| Unitedhealthcare | All Commercial Plans | $2,095.00 | ↑ +100% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +413% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +515% |
Visitor-reported prices
Comments
Cardioversion/elective/internal 92961 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $9,451.32 | $890.70 – $2,695.00 |
| Bakersfield Memorial Hospital | Bakersfield | $509.40 | $198.27 – $1,096.52 |
| Queen of The Valley Medical Center | Napa | $830.79 | $938.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,171.80 | $850.08 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $408.08 | $198.27 – $1,138.16 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,271.14 | $919.68 – $4,042.00 |
| Mercy Medical Center Merced | Merced | $714.82 | $198.27 – $1,388.00 |
| Dominican Hospital | Santa Cruz | $883.35 | $198.27 – $2,813.96 |