Ins cath ren art 2nd+ uni at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$5,365.92
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.
$11,179.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4,114.00 with Aetna vs $16,652.00 with Healthnet — 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 |
|---|---|---|---|
| Aetna | Gatekeeper Hmo | $4,114.00 | ↓ -23% |
| Providence | Oscar All Commercial Plans | $6,083.33 | ↑ +13% |
| Aetna | Medicare Managed Care Plan | $7,156.86 | ↑ +33% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7,498.09 | ↑ +40% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $8,444.98 | ↑ +57% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $9,718.00 | ↑ +81% |
| Unitedhealthcare | Select/Navigate Hmo | $10,791.00 | ↑ +101% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $11,662.00 | ↑ +117% |
| Unitedhealthcare | All Commercial Plans | $11,921.00 | ↑ +122% |
| Healthnet | Ambetter Hmo | $13,240.19 | ↑ +147% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +210% |
Visitor-reported prices
Comments
Ins cath ren art 2nd+ uni at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,707.67 | $478.78 – $12,900.80 |
| Arroyo Grande Hospital | Santa Maria | $4,654.50 | $316.27 – $10,657.50 |
| French Hospital | San Luis Obispo | $4,263.00 | $316.27 – $10,329.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,101.25 | $316.46 – $6,868.48 |
| Bakersfield Memorial Hospital | Bakersfield | $3,099.69 | $316.46 – $6,868.48 |
| Queen of The Valley Medical Center | Napa | $12,411.36 | $2,803.20 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,506.06 | $0.80 – $2,366.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $10,545.27 | $2,681.54 – $15,575.00 |