Cytopathology fna adequacy evaluation each separate additional episode same site at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$82.08
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.
$171.00
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.
$14.44 with Unitedhealthcare vs $70.80 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $14.44 | ↓ -82% |
| Unitedhealthcare | Select/Navigate Hmo | $14.44 | ↓ -82% |
| Aetna | Gatekeeper Hmo | $46.75 | ↓ -43% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $59.00 | ↓ -28% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $70.80 | ↓ -14% |
Visitor-reported prices
Comments
Cytopathology fna adequacy evaluation each separate additional episode same site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $45.90 | $14.44 – $35.39 |
| Arroyo Grande Hospital | Santa Maria | $62.06 | $8.80 – $142.10 |
| Mark Twain Medical Center | San Andreas | $6.13 | $1.82 – $7.00 |
| French Hospital | San Luis Obispo | $56.84 | $8.80 – $142.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $86.08 | $5.92 – $20.87 |
| Bakersfield Memorial Hospital | Bakersfield | $85.15 | $5.92 – $20.87 |
| Queen of The Valley Medical Center | Napa | $42.84 | $14.44 – $46.94 |
| Providence St Joseph Hospital Eureka | Eureka | $42.33 | $14.44 – $50.72 |