Ghs ed peritoneal lavage w guidance if performed at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,192.32
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.
$2,484.00
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.
$991.55 with Providence vs $10,925.00 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $991.55 | ↓ -17% |
| Aetna | Medicare Managed Care Plan | $1,166.53 | ↓ -2% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,222.15 | ↑ +3% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,376.49 | ↑ +15% |
| Healthnet | Ambetter Hmo | $2,158.09 | ↑ +81% |
| Unitedhealthcare | Select/Navigate Hmo | $3,281.00 | ↑ +175% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +190% |
| Unitedhealthcare | All Commercial Plans | $3,633.00 | ↑ +205% |
| Aetna | Gatekeeper Hmo | $4,114.00 | ↑ +245% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +349% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +439% |
| Blue Shield | Epn Exchange | $7,908.00 | ↑ +563% |
| Blue Shield | Tandem Ppo | $9,826.00 | ↑ +724% |
| Blue Shield | Hmo/Ppo | $10,925.00 | ↑ +816% |
Visitor-reported prices
Comments
Ghs ed peritoneal lavage w guidance if performed at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,660.05 | $1,222.26 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $1,178.72 | $93.43 – $2,698.92 |
| Mark Twain Medical Center | San Andreas | $1,566.44 | $69.34 – $262.64 |
| French Hospital | San Luis Obispo | $1,079.57 | $93.43 – $2,698.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $910.07 | $93.43 – $1,962.40 |
| Bakersfield Memorial Hospital | Bakersfield | $900.26 | $93.43 – $1,937.87 |
| Queen of The Valley Medical Center | Napa | $1,717.17 | $1,287.79 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,798.26 | $1,166.53 – $8,925.00 |