Drvvt confirm - quest at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$3.31
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.
$6.89
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.
$15.28 with Providence vs $240.01 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 | $15.28 | ↑ +362% |
| Aetna | Medicare Managed Care Plan | $17.98 | ↑ +443% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $28.72 | ↑ +768% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $32.46 | ↑ +881% |
| Healthnet | Ambetter Hmo | $33.26 | ↑ +905% |
| Unitedhealthcare | All Commercial Plans | $35.96 | ↑ +986% |
| Unitedhealthcare | Select/Navigate Hmo | $35.96 | ↑ +986% |
| Aetna | Gatekeeper Hmo | $147.45 | ↑ +4355% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $200.01 | ↑ +5943% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $240.01 | ↑ +7151% |
Visitor-reported prices
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Drvvt confirm - quest at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $71.52 | $3.60 – $116.40 |
| Arroyo Grande Hospital | Santa Maria | $44.80 | $17.98 – $89.29 |
| French Hospital | San Luis Obispo | $41.03 | $17.98 – $89.29 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $83.40 | $15.98 – $105.05 |
| Sierra Nevada Memorial Hospital | Grass Valley | $10.67 | $13.12 – $19.57 |
| Mercy San Juan Medical Center | Carmichael | $5.37 | $2.16 – $39.83 |
| Mercy Medical Center Redding | Redding | $54.35 | $15.98 – $105.05 |
| Mercy Hospital of Folsom | Folsom | $7.62 | $2.16 – $39.83 |