CT lower extremity w/contrast (both sides) at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,481.12
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.
$5,169.00
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.
$191.76 with Providence vs $2,636.65 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 | $191.76 | ↓ -92% |
| Aetna | Medicare Managed Care Plan | $225.59 | ↓ -91% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $236.35 | ↓ -90% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $266.20 | ↓ -89% |
| Unitedhealthcare | All Commercial Plans | $291.55 | ↓ -88% |
| Unitedhealthcare | Select/Navigate Hmo | $291.55 | ↓ -88% |
| Healthnet | Ambetter Hmo | $417.35 | ↓ -83% |
| Aetna | Gatekeeper Hmo | $1,401.27 | ↓ -44% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,197.20 | ↓ -11% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,636.65 | ↑ +6% |
Visitor-reported prices
Comments
CT lower extremity w/contrast (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $836.15 | $226.19 – $1,566.00 |
| Banner Lassen Medical Center | Susanville | $1,017.37 | $266.11 – $1,734.36 |
| Petaluma Valley Hospital | Petaluma | $3,970.35 | $236.37 – $1,369.25 |
| Queen of The Valley Medical Center | Napa | $4,315.11 | $249.04 – $1,730.40 |
| Providence St Joseph Hospital Eureka | Eureka | $2,702.49 | $225.59 – $1,962.28 |
| Healdsburg Hospital | Healdsburg | $1,728.39 | $236.33 – $782.78 |
| Redwood Memorial Hospital | Fortuna | $2,113.95 | $1,966.86 – $1,966.86 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,798.99 | $244.06 – $1,472.15 |