CT uppr extremity w/o&w/dye at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,289.12
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.
$4,769.00
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 $3,308.65 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 | ↓ -90% |
| 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 | ↓ -88% |
| Unitedhealthcare | All Commercial Plans | $291.55 | ↓ -87% |
| Unitedhealthcare | Select/Navigate Hmo | $291.55 | ↓ -87% |
| Healthnet | Ambetter Hmo | $417.35 | ↓ -82% |
| Aetna | Gatekeeper Hmo | $1,849.86 | ↓ -19% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,757.20 | ↑ +20% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $3,308.65 | ↑ +45% |
Visitor-reported prices
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CT uppr extremity w/o&w/dye at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,261.88 | $226.19 – $2,247.18 |
| Banner Lassen Medical Center | Susanville | $1,114.10 | $408.13 – $1,899.26 |
| Petaluma Valley Hospital | Petaluma | $5,116.32 | $236.37 – $1,718.23 |
| Queen of The Valley Medical Center | Napa | $5,021.46 | $249.04 – $2,171.42 |
| Providence St Joseph Hospital Eureka | Eureka | $3,377.73 | $225.59 – $2,462.40 |
| Redwood Memorial Hospital | Fortuna | $2,212.38 | $2,468.15 – $2,468.15 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,486.87 | $244.06 – $1,847.36 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,504.65 | $225.59 – $656.11 |