Declotting thrombolytic agent implanted vas access device 36 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,192.80
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.
$2,485.00
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.
$361.10 with Providence vs $6,428.00 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 | $361.10 | ↓ -70% |
| Aetna | Medicare Managed Care Plan | $424.83 | ↓ -64% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $445.08 | ↓ -63% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $501.29 | ↓ -58% |
| Healthnet | Ambetter Hmo | $785.93 | ↓ -34% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↓ -33% |
| Unitedhealthcare | Select/Navigate Hmo | $1,200.00 | ↑ +1% |
| Unitedhealthcare | All Commercial Plans | $1,312.00 | ↑ +10% |
| Blue Shield | Epn Exchange | $1,597.00 | ↑ +34% |
| Blue Shield | Tandem Ppo | $1,984.00 | ↑ +66% |
| Blue Shield | Hmo/Ppo | $2,206.00 | ↑ +85% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↑ +187% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +349% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +439% |
Visitor-reported prices
Comments
Declotting thrombolytic agent implanted vas access device 36 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $314.49 | $50.70 – $834.88 |
| Banner Lassen Medical Center | Susanville | $354.58 | $55.29 – $492.76 |
| Petaluma Valley Hospital | Petaluma | $673.71 | $445.12 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $445.12 | $33.51 – $890.82 |
| Mark Twain Medical Center | San Andreas | $486.18 | $33.51 – $704.62 |
| French Hospital | San Luis Obispo | $407.68 | $33.51 – $890.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $369.15 | $33.51 – $796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $365.17 | $33.51 – $545.10 |