Exchange nephrostomy cath at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,248.32
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.
$4,684.00
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.
$1,894.00 with Unitedhealthcare vs $7,143.00 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $1,894.00 | ↓ -16% |
| Unitedhealthcare | All Commercial Plans | $2,095.00 | ↓ -7% |
| Providence | Oscar All Commercial Plans | $2,285.30 | ↑ +2% |
| Aetna | Medicare Managed Care Plan | $2,688.58 | ↑ +20% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,816.77 | ↑ +25% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $3,172.48 | ↑ +41% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↑ +53% |
| Healthnet | Ambetter Hmo | $4,973.88 | ↑ +121% |
| Blue Shield | Epn Exchange | $5,171.00 | ↑ +130% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +138% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↑ +167% |
| Blue Shield | Tandem Ppo | $6,425.00 | ↑ +186% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +186% |
| Blue Shield | Hmo/Ppo | $7,143.00 | ↑ +218% |
Visitor-reported prices
Comments
Exchange nephrostomy cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,049.45 | $646.92 – $4,655.74 |
| Arroyo Grande Hospital | Santa Maria | $3,299.46 | $434.37 – $6,497.40 |
| French Hospital | San Luis Obispo | $2,931.38 | $434.37 – $6,497.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,505.00 | $434.47 – $3,600.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,850.05 | $434.47 – $3,555.79 |
| Queen of The Valley Medical Center | Napa | $3,882.12 | $2,968.05 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,978.73 | $2,688.58 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,270.97 | $283.71 – $1,351.00 |