Inj, bupivacaine liposome 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.20 with Providence vs $3.05 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.20 | — |
| Aetna | Medicare Managed Care Plan | $1.41 | — |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $2.04 | — |
| Cigna | All Other Ppo | $2.04 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2.06 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2.32 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2.51 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2.51 | — |
| Healthnet | Ambetter Hmo | $2.61 | — |
| Aetna | Gatekeeper Hmo | $2.99 | — |
| Unitedhealthcare | All Commercial Plans | $3.05 | — |
| Unitedhealthcare | Select/Navigate Hmo | $3.05 | — |
Visitor-reported prices
Comments
Inj, bupivacaine liposome at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,617.84 | $1,701.00 – $3,704.40 |
| French Hospital | San Luis Obispo | $1,481.76 | $1,020.60 – $3,704.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $558.36 | $100.00 – $1,146.40 |
| St. Joseph's Medical Center Stockton | Stockton | $361.33 | $100.00 – $982.80 |
| Santa Rosa Memorial Hospital | Santa Rosa | $116.67 | $1.38 – $3.05 |
| Mercy Medical Center Merced | Merced | $759.63 | $351.00 – $1,389.96 |
| Dominican Hospital | Santa Cruz | $1,360.79 | $876.95 – $2,751.81 |
| Sierra Nevada Memorial Hospital | Grass Valley | $721.04 | $617.40 – $1,234.80 |