I&d upper arm/elbow deep abscess/hematoma at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$6,451.20
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.
$13,440.00
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.
$3,175.56 with Providence vs $7,143.00 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 | $3,175.56 | ↓ -51% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↓ -47% |
| Aetna | Medicare Managed Care Plan | $3,735.95 | ↓ -42% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $3,914.07 | ↓ -39% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,408.36 | ↓ -32% |
| Unitedhealthcare | Select/Navigate Hmo | $4,666.00 | ↓ -28% |
| Unitedhealthcare | All Commercial Plans | $5,159.00 | ↓ -20% |
| Blue Shield | Epn Exchange | $5,171.00 | ↓ -20% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↓ -17% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↓ -7% |
| Blue Shield | Tandem Ppo | $6,425.00 | ↓ -0% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↓ -0% |
| Healthnet | Ambetter Hmo | $6,911.51 | ↑ +7% |
| Blue Shield | Hmo/Ppo | $7,143.00 | ↑ +11% |
Visitor-reported prices
Comments
I&d upper arm/elbow deep abscess/hematoma at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $4,902.63 | $1,921.00 – $6,619.00 |
| Mark Twain Medical Center | San Andreas | $588.75 | $186.27 – $866.32 |
| Queen of The Valley Medical Center | Napa | $5,815.02 | $4,124.29 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,621.33 | $3,735.95 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $3,174.75 | $2,335.00 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $3,455.25 | $5,981.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,595.21 | $2,238.00 – $6,732.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,031.75 | $1,142.00 – $5,080.00 |