Hla i typing 1 locus hr at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
not published by hospital
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.
not published by hospital
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.
$150.66 with Providence vs $1,686.23 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 | $150.66 | — |
| Aetna | Medicare Managed Care Plan | $177.25 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $283.12 | — |
| Healthnet | Ambetter Hmo | $327.91 | — |
| Unitedhealthcare | All Commercial Plans | $354.50 | — |
| Unitedhealthcare | Select/Navigate Hmo | $354.50 | — |
| Aetna | Gatekeeper Hmo | $586.03 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $797.97 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $1,405.19 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,686.23 | — |
Visitor-reported prices
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Hla i typing 1 locus hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $90.88 | $35.45 – $259.96 |
| Arroyo Grande Hospital | Santa Maria | $104.86 | $122.50 – $456.69 |
| Mark Twain Medical Center | San Andreas | $216.45 | $132.62 – $240.10 |
| French Hospital | San Luis Obispo | $96.04 | $66.15 – $536.88 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $190.61 | $127.40 – $240.10 |
| Mercy Medical Center Redding | Redding | $124.22 | $157.55 – $245.00 |
| St. Elizabeth Community Hospital | Red Bluff | $143.08 | $120.05 – $245.00 |
| Petaluma Valley Hospital | Petaluma | not published | $173.70 – $838.42 |