Enzyme histochemistry at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,242.72
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.
$2,589.00
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.
$93.92 with Blue Cross vs $1,917.04 with Healthnet — 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 |
|---|---|---|---|
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $93.92 | ↓ -92% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $112.70 | ↓ -91% |
| Providence | Oscar All Commercial Plans | $880.80 | ↓ -29% |
| Aetna | Gatekeeper Hmo | $887.16 | ↓ -29% |
| Aetna | Medicare Managed Care Plan | $1,036.24 | ↓ -17% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,085.64 | ↓ -13% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,222.74 | ↓ -2% |
| Unitedhealthcare | All Commercial Plans | $1,256.40 | ↑ +1% |
| Unitedhealthcare | Select/Navigate Hmo | $1,256.40 | ↑ +1% |
| Healthnet | Ambetter Hmo | $1,917.04 | ↑ +54% |
Visitor-reported prices
Comments
Enzyme histochemistry at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,351.50 | $58.53 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $34.99 | $29.79 – $296.94 |
| French Hospital | San Luis Obispo | $32.05 | $16.09 – $349.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $229.97 | $59.43 – $331.18 |
| Bakersfield Memorial Hospital | Bakersfield | $227.49 | $59.43 – $331.18 |
| Queen of The Valley Medical Center | Napa | $1,770.21 | $73.97 – $1,256.40 |
| Providence St Joseph Hospital Eureka | Eureka | $993.99 | $83.88 – $1,256.40 |
| St. Joseph's Behavioral Health Center | Stockton | $67.87 | $11.89 – $95.09 |