Evasc prlng admn rx agnt add at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$5,252.16
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.
$10,942.00
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 $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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $1,597.00 | ↓ -70% |
| Blue Shield | Tandem Ppo | $1,984.00 | ↓ -62% |
| Blue Shield | Hmo/Ppo | $2,206.00 | ↓ -58% |
| Unitedhealthcare | Select/Navigate Hmo | $4,666.00 | ↓ -11% |
| Unitedhealthcare | All Commercial Plans | $5,159.00 | ↓ -2% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +2% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +22% |
Visitor-reported prices
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Evasc prlng admn rx agnt add at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,041.43 | $285.00 – $7,197.06 |
| Arroyo Grande Hospital | Santa Maria | $4,031.76 | $188.38 – $9,231.60 |
| French Hospital | San Luis Obispo | $3,692.64 | $188.38 – $9,231.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,140.46 | $188.38 – $2,735.86 |
| Bakersfield Memorial Hospital | Bakersfield | $1,128.16 | $188.38 – $3,043.26 |
| St. Joseph's Medical Center Stockton | Stockton | $894.35 | $188.38 – $2,453.64 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $9,273.76 | $418.20 – $11,681.60 |
| Mercy Medical Center Merced | Merced | $1,604.23 | $188.38 – $3,083.85 |