Injection, inclisiran, 1 mg 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.
$10.72 with Providence vs $26.38 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 | $10.72 | — |
| Aetna | Medicare Managed Care Plan | $12.61 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $17.42 | — |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $17.60 | — |
| Cigna | All Other Ppo | $17.60 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $19.61 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $20.21 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $20.21 | — |
| Healthnet | Ambetter Hmo | $23.33 | — |
| Aetna | Gatekeeper Hmo | $24.70 | — |
| Unitedhealthcare | All Commercial Plans | $26.38 | — |
| Unitedhealthcare | Select/Navigate Hmo | $26.38 | — |
Visitor-reported prices
Comments
Injection, inclisiran, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $11,257.89 | $4,373.00 – $16,565.66 |
| Bakersfield Memorial Hospital | Bakersfield | $5,696.58 | $100.00 – $15,366.78 |
| St. Joseph's Medical Center Stockton | Stockton | $3,726.45 | $100.00 – $10,647.00 |
| Dominican Hospital | Santa Cruz | $4,387.50 | $2,827.50 – $8,872.50 |
| Northridge Hospital Medical Center | Northridge | $2,502.63 | $100.00 – $8,970.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $7,439.25 | $6,688.50 – $13,377.00 |
| Sequoia Hospital | Redwood City | $2,366.00 | $1,430.00 – $5,655.00 |
| Mercy San Juan Medical Center | Carmichael | $4,274.40 | $1,716.00 – $15,600.00 |