Ghs insertion of needle - bone at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$819.84
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.
$1,708.00
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.
$488.38 with Providence 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $488.38 | ↓ -40% |
| Aetna | Medicare Managed Care Plan | $574.56 | ↓ -30% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $601.96 | ↓ -27% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $677.97 | ↓ -17% |
| Healthnet | Ambetter Hmo | $1,062.94 | ↑ +30% |
| Unitedhealthcare | Select/Navigate Hmo | $1,200.00 | ↑ +46% |
| Unitedhealthcare | All Commercial Plans | $1,312.00 | ↑ +60% |
| Blue Shield | Epn Exchange | $1,597.00 | ↑ +95% |
| Blue Shield | Tandem Ppo | $1,984.00 | ↑ +142% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +144% |
| Blue Shield | Hmo/Ppo | $2,206.00 | ↑ +169% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↑ +318% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +553% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +684% |
Visitor-reported prices
Comments
Ghs insertion of needle - bone at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $222.59 | $79.81 – $444.26 |
| Petaluma Valley Hospital | Petaluma | $393.21 | $593.00 – $1,687.00 |
| Queen of The Valley Medical Center | Napa | $1,145.97 | $634.29 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $954.21 | $574.56 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $242.76 | $601.89 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $524.28 | $1,847.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $669.63 | $621.60 – $4,042.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $311.50 | $203.00 – $1,287.00 |