Inj crotalidae im f(ab')2 eq at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,791.85
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.
$5,816.35
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.
$1,456.94 with Blue Cross vs $2,243.63 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 |
|---|---|---|---|
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,456.94 | ↓ -48% |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $1,496.41 | ↓ -46% |
| Cigna | All Other Ppo | $1,496.41 | ↓ -46% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,640.70 | ↓ -41% |
| Aetna | Gatekeeper Hmo | $2,088.28 | ↓ -25% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,148.89 | ↓ -23% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,148.89 | ↓ -23% |
| Unitedhealthcare | Select/Navigate Hmo | $2,243.63 | ↓ -20% |
| Unitedhealthcare | All Commercial Plans | $2,243.63 | ↓ -20% |
Visitor-reported prices
Comments
Inj crotalidae im f(ab')2 eq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $425.29 | $393.61 – $1,721.86 |
| Petaluma Valley Hospital | Petaluma | $2,859.84 | $1,623.56 – $2,243.63 |
| Arroyo Grande Hospital | Santa Maria | $6,779.52 | $1,269.93 – $15,523.20 |
| French Hospital | San Luis Obispo | $6,209.28 | $1,043.55 – $15,523.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,339.16 | $839.52 – $5,044.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,313.94 | $1,326.68 – $4,980.95 |
| Queen of The Valley Medical Center | Napa | $2,859.84 | $1,757.43 – $2,243.63 |
| Providence St Joseph Hospital Eureka | Eureka | $2,859.84 | $2,088.28 – $2,243.63 |