In-111 pentetreotide at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$11,186.27
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.
$23,304.72
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.
$1,700.80 with Providence vs $15,865.66 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 | $1,700.80 | ↓ -85% |
| Aetna | Medicare Managed Care Plan | $2,000.94 | ↓ -82% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,096.34 | ↓ -81% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,361.08 | ↓ -79% |
| Healthnet | Ambetter Hmo | $3,701.74 | ↓ -67% |
| Unitedhealthcare | All Commercial Plans | $4,116.41 | ↓ -63% |
| Unitedhealthcare | Select/Navigate Hmo | $4,116.41 | ↓ -63% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,865.66 | ↑ +42% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $15,865.66 | ↑ +42% |
Visitor-reported prices
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In-111 pentetreotide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,588.15 | $1,577.61 – $4,865.40 |
| Arroyo Grande Hospital | Santa Maria | $6,152.50 | $2,432.70 – $14,087.50 |
| French Hospital | San Luis Obispo | $5,635.00 | $1,333.53 – $4,840.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,027.36 | $2,432.70 – $6,528.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,994.72 | $2,432.70 – $6,446.40 |
| St. Joseph's Medical Center Stockton | Stockton | $1,938.05 | $1,384.32 – $5,405.44 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,459.26 | $758.64 – $3,097.78 |
| Mercy Medical Center Merced | Merced | $1,472.39 | $1,715.40 – $2,859.00 |