Cetuximab 100 mg/50 ml intravenous solution at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,319.41
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.
$4,832.10
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.
$68.39 with Providence vs $166.67 with Unitedhealthcare — 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 | $68.39 | ↓ -97% |
| Aetna | Medicare Managed Care Plan | $80.46 | ↓ -97% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $88.13 | ↓ -96% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $88.13 | ↓ -96% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $109.36 | ↓ -95% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $123.15 | ↓ -95% |
| Cigna | All Other Ppo | $126.53 | ↓ -95% |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $126.53 | ↓ -95% |
| Healthnet | Ambetter Hmo | $148.85 | ↓ -94% |
| Aetna | Gatekeeper Hmo | $156.93 | ↓ -93% |
| Unitedhealthcare | All Commercial Plans | $166.67 | ↓ -93% |
| Unitedhealthcare | Select/Navigate Hmo | $166.67 | ↓ -93% |
Visitor-reported prices
Comments
Cetuximab 100 mg/50 ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,314.00 | $65.10 – $900.00 |
| Arroyo Grande Hospital | Santa Maria | $5,835.36 | $70.77 – $6,680.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,006.53 | $51.14 – $177.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,991.35 | $88.80 – $175.38 |
| Queen of The Valley Medical Center | Napa | $4,653.19 | $72.08 – $166.67 |
| Providence St Joseph Hospital Eureka | Eureka | $4,653.19 | $80.46 – $166.67 |
| St. Joseph's Medical Center Stockton | Stockton | $1,302.72 | $75.63 – $1,817.12 |
| Mercy Medical Center Merced | Merced | $2,738.26 | $76.46 – $2,499.46 |