Ghs closure surg wound/dehiscence-13160 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,688.00
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.
$5,600.00
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.
$3,281.00 with Unitedhealthcare vs $9,559.00 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 | $3,281.00 | ↑ +22% |
| Unitedhealthcare | All Commercial Plans | $3,633.00 | ↑ +35% |
| Providence | Oscar All Commercial Plans | $3,874.15 | ↑ +44% |
| Aetna | Gatekeeper Hmo | $4,114.00 | ↑ +53% |
| Aetna | Medicare Managed Care Plan | $4,557.82 | ↑ +70% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,775.13 | ↑ +78% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +99% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $5,378.16 | ↑ +100% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↑ +123% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +139% |
| Blue Shield | Epn Exchange | $6,920.00 | ↑ +157% |
| Healthnet | Ambetter Hmo | $8,431.97 | ↑ +214% |
| Blue Shield | Tandem Ppo | $8,598.00 | ↑ +220% |
| Blue Shield | Hmo/Ppo | $9,559.00 | ↑ +256% |
Visitor-reported prices
Comments
Ghs closure surg wound/dehiscence-13160 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,550.18 | $226.00 – $4,916.00 |
| Petaluma Valley Hospital | Petaluma | $3,494.52 | $2,570.00 – $4,873.02 |
| Mark Twain Medical Center | San Andreas | $1,421.25 | $552.07 – $2,091.32 |
| Bakersfield Memorial Hospital | Bakersfield | $2,180.72 | $629.30 – $4,694.18 |
| Queen of The Valley Medical Center | Napa | $3,885.18 | $5,031.60 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,908.64 | $4,557.82 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $2,121.09 | $3,125.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,308.26 | $8,005.00 – $25,998.00 |