Chromosome analysis 5 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$10.29
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.
$21.43
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.
$224.69 with Providence vs $2,358.33 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 | $224.69 | ↑ +2084% |
| Aetna | Medicare Managed Care Plan | $264.34 | ↑ +2469% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $422.23 | ↑ +4003% |
| Healthnet | Ambetter Hmo | $489.03 | ↑ +4652% |
| Unitedhealthcare | All Commercial Plans | $528.68 | ↑ +5038% |
| Unitedhealthcare | Select/Navigate Hmo | $528.68 | ↑ +5038% |
| Aetna | Gatekeeper Hmo | $1,449.13 | ↑ +13983% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,965.27 | ↑ +18999% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,358.33 | ↑ +22819% |
Visitor-reported prices
Comments
Chromosome analysis 5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $74.90 | $87.50 – $681.09 |
| French Hospital | San Luis Obispo | $68.60 | $47.25 – $800.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $64.93 | $87.50 – $759.62 |
| Bakersfield Memorial Hospital | Bakersfield | $64.23 | $87.50 – $759.62 |
| St. Joseph's Medical Center Stockton | Stockton | $51.45 | $36.75 – $175.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $213.95 | $143.00 – $269.50 |
| Northridge Hospital Medical Center | Northridge | $73.76 | $66.09 – $481.96 |
| Sierra Nevada Memorial Hospital | Grass Valley | $98.10 | $120.60 – $180.00 |