Dx bronchoscope/lavage 31624 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$891.36
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.
$1,857.00
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.
$1,945.86 with Providence vs $9,559.00 with Blue Shield — 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 | $1,945.86 | ↑ +118% |
| Aetna | Medicare Managed Care Plan | $2,289.25 | ↑ +157% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,398.39 | ↑ +169% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,701.27 | ↑ +203% |
| Unitedhealthcare | Select/Navigate Hmo | $3,281.00 | ↑ +268% |
| Unitedhealthcare | All Commercial Plans | $3,633.00 | ↑ +308% |
| Aetna | Gatekeeper Hmo | $4,114.00 | ↑ +362% |
| Healthnet | Ambetter Hmo | $4,235.11 | ↑ +375% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +501% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↑ +573% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +621% |
| Blue Shield | Epn Exchange | $6,920.00 | ↑ +676% |
| Blue Shield | Tandem Ppo | $8,598.00 | ↑ +865% |
| Blue Shield | Hmo/Ppo | $9,559.00 | ↑ +972% |
Visitor-reported prices
Comments
Dx bronchoscope/lavage 31624 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,171.22 | $301.10 – $4,012.38 |
| Petaluma Valley Hospital | Petaluma | $4,554.30 | $2,398.61 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $856.00 | $244.80 – $2,000.00 |
| Mark Twain Medical Center | San Andreas | $1,402.60 | $244.80 – $1,586.62 |
| French Hospital | San Luis Obispo | $784.00 | $244.80 – $2,000.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,290.71 | $244.80 – $2,783.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,276.80 | $244.80 – $2,748.41 |
| Queen of The Valley Medical Center | Napa | $6,790.65 | $2,527.21 – $9,858.00 |