Embo or occlude vascular tumor/organ/infarct s&i at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$25,170.24
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.
$52,438.00
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.
$1,597.00 with Blue Shield vs $39,963.00 with Healthnet — 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $1,597.00 | ↓ -94% |
| Blue Shield | Tandem Ppo | $1,984.00 | ↓ -92% |
| Blue Shield | Hmo/Ppo | $2,206.00 | ↓ -91% |
| Aetna | Gatekeeper Hmo | $8,912.00 | ↓ -65% |
| Providence | Oscar All Commercial Plans | $12,620.59 | ↓ -50% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,634.00 | ↓ -46% |
| Unitedhealthcare | Select/Navigate Hmo | $14,208.00 | ↓ -44% |
| Aetna | Medicare Managed Care Plan | $14,847.76 | ↓ -41% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $15,555.67 | ↓ -38% |
| Unitedhealthcare | All Commercial Plans | $15,667.00 | ↓ -38% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,361.00 | ↓ -35% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $17,520.12 | ↓ -30% |
| Healthnet | Ambetter Hmo | $27,468.35 | ↑ +9% |
| Healthnet | Hmo/Pos/Ppo | $39,963.00 | ↑ +59% |
Visitor-reported prices
Comments
Embo or occlude vascular tumor/organ/infarct s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,078.52 | $771.65 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $18,047.48 | $510.05 – $41,323.66 |
| French Hospital | San Luis Obispo | $17,025.35 | $510.05 – $41,323.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13,040.65 | $510.05 – $28,120.00 |
| Bakersfield Memorial Hospital | Bakersfield | $12,900.05 | $510.05 – $27,768.50 |
| St. Joseph's Medical Center Stockton | Stockton | $16,805.63 | $510.05 – $26,889.24 |
| Santa Rosa Memorial Hospital | Santa Rosa | $14,433.51 | $691.00 – $20,488.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $18,457.28 | $1,132.31 – $23,249.52 |