Head CT scan (with contrast) at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,705.44
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.
$3,553.00
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.
$191.76 with Providence vs $2,527.65 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 | $191.76 | ↓ -89% |
| Aetna | Medicare Managed Care Plan | $225.59 | ↓ -87% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $236.35 | ↓ -86% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $266.20 | ↓ -84% |
| Unitedhealthcare | All Commercial Plans | $291.55 | ↓ -83% |
| Unitedhealthcare | Select/Navigate Hmo | $291.55 | ↓ -83% |
| Healthnet | Ambetter Hmo | $417.35 | ↓ -76% |
| Aetna | Gatekeeper Hmo | $1,148.84 | ↓ -33% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,106.37 | ↑ +24% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,527.65 | ↑ +48% |
Visitor-reported prices
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Head CT scan (with contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,133.94 | $226.19 – $3,800.16 |
| Banner Lassen Medical Center | Susanville | $890.21 | $35.60 – $1,536.48 |
| Petaluma Valley Hospital | Petaluma | $3,650.07 | $236.37 – $1,312.65 |
| Arroyo Grande Hospital | Santa Maria | $2,699.83 | $204.88 – $4,685.38 |
| Mark Twain Medical Center | San Andreas | $4,500.83 | $204.88 – $1,466.08 |
| French Hospital | San Luis Obispo | $2,154.44 | $204.88 – $1,768.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,183.34 | $204.88 – $4,708.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,159.80 | $204.88 – $4,649.15 |