Culture mycobacteria definitive id each isolate at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$176.16
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.
$367.00
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.
$12.42 with Providence vs $172.07 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 | $12.42 | ↓ -93% |
| Aetna | Medicare Managed Care Plan | $14.61 | ↓ -92% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $23.34 | ↓ -87% |
| Healthnet | Ambetter Hmo | $27.03 | ↓ -85% |
| Unitedhealthcare | All Commercial Plans | $29.22 | ↓ -83% |
| Unitedhealthcare | Select/Navigate Hmo | $29.22 | ↓ -83% |
| Aetna | Gatekeeper Hmo | $89.73 | ↓ -49% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $96.80 | ↓ -45% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $143.39 | ↓ -19% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $172.07 | ↓ -2% |
Visitor-reported prices
Comments
Culture mycobacteria definitive id each isolate at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $67.20 | $14.61 – $105.84 |
| Mark Twain Medical Center | San Andreas | $24.33 | $14.61 – $35.80 |
| French Hospital | San Luis Obispo | $61.55 | $14.61 – $105.84 |
| St. Joseph's Medical Center Stockton | Stockton | $17.35 | $12.39 – $48.38 |
| Sierra Nevada Memorial Hospital | Grass Valley | $123.72 | $14.61 – $222.46 |
| St. Mary Medical Center | Long Beach | $16.93 | $9.84 – $83.75 |
| Community Hospital San Bernardino | San Bernardino | $15.39 | $7.87 – $83.75 |
| Providence St Joseph Hospital Orange | Orange | $146.88 | $12.42 – $29.22 |