CT scan for therapy guide at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,029.12
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.
?
What you pay up front if you don't use insurance.
$2,144.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$853.64 with Aetna vs $1,219.54 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Gatekeeper Hmo | $853.64 | ↓ -17% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,016.28 | ↓ -1% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,219.54 | ↑ +19% |
Visitor-reported prices
Comments
CT scan for therapy guide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $742.85 | $159.10 – $1,566.00 |
| Arroyo Grande Hospital | Santa Maria | $899.23 | $105.16 – $1,770.86 |
| French Hospital | San Luis Obispo | $716.58 | $79.38 – $1,768.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $305.34 | $105.16 – $1,130.00 |
| Bakersfield Memorial Hospital | Bakersfield | $302.05 | $105.16 – $1,130.00 |
| Providence St Joseph Hospital Eureka | Eureka | $563.04 | $907.62 – $907.62 |
| St. Joseph's Medical Center Stockton | Stockton | $316.94 | $105.16 – $3,330.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $704.82 | $680.92 – $1,047.13 |