Inj nephrosto/ureterogram w/img exstng access at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$986.40
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.
$2,055.00
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.
$762.31 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 | $762.31 | ↓ -23% |
| Aetna | Medicare Managed Care Plan | $896.84 | ↓ -9% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $939.60 | ↓ -5% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,058.26 | ↑ +7% |
| Healthnet | Ambetter Hmo | $1,659.15 | ↑ +68% |
| Unitedhealthcare | Select/Navigate Hmo | $1,894.00 | ↑ +92% |
| Healthnet | Hmo/Pos/Ppo | $1,999.00 | ↑ +103% |
| Unitedhealthcare | All Commercial Plans | $2,095.00 | ↑ +112% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↑ +248% |
| Blue Shield | Epn Exchange | $5,171.00 | ↑ +424% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +443% |
| Blue Shield | Tandem Ppo | $6,425.00 | ↑ +551% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +552% |
| Blue Shield | Hmo/Ppo | $7,143.00 | ↑ +624% |
Visitor-reported prices
Comments
Inj nephrosto/ureterogram w/img exstng access at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $740.66 | $222.48 – $1,569.60 |
| Arroyo Grande Hospital | Santa Maria | $1,150.47 | $147.06 – $1,590.54 |
| French Hospital | San Luis Obispo | $1,067.42 | $147.06 – $1,590.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $795.43 | $147.06 – $1,393.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,041.18 | $147.06 – $1,433.85 |
| Queen of The Valley Medical Center | Napa | $1,115.37 | $534.38 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,250.34 | $896.84 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,782.53 | $147.06 – $1,697.64 |