Exc bartholins gland/cyst at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,093.28
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.
$4,361.00
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.
$3,538.96 with Providence vs $11,662.00 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $3,538.96 | ↑ +69% |
| Aetna | Medicare Managed Care Plan | $4,163.48 | ↑ +99% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,361.99 | ↑ +108% |
| Unitedhealthcare | Select/Navigate Hmo | $4,666.00 | ↑ +123% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,912.85 | ↑ +135% |
| Unitedhealthcare | All Commercial Plans | $5,159.00 | ↑ +146% |
| Healthnet | Ambetter Hmo | $7,702.45 | ↑ +268% |
| Blue Shield | Epn Exchange | $7,908.00 | ↑ +278% |
| Aetna | Gatekeeper Hmo | $8,912.00 | ↑ +326% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $9,718.00 | ↑ +364% |
| Blue Shield | Tandem Ppo | $9,826.00 | ↑ +369% |
| Healthnet | Hmo/Pos/Ppo | $9,990.00 | ↑ +377% |
| Blue Shield | Hmo/Ppo | $10,925.00 | ↑ +422% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $11,662.00 | ↑ +457% |
Visitor-reported prices
Comments
Exc bartholins gland/cyst at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $5,724.24 | $2,937.00 – $6,619.00 |
| Mark Twain Medical Center | San Andreas | $532.80 | $206.96 – $784.00 |
| Queen of The Valley Medical Center | Napa | $6,364.29 | $4,596.27 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,403.05 | $4,163.48 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $3,474.63 | $3,572.00 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $3,781.65 | $9,031.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,124.08 | $3,423.00 – $6,732.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,246.00 | $1,747.00 – $7,332.00 |