Insert pm/icd lead dual at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$5,289.60
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.
$11,020.00
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.
$5,357.00 with Blue Cross vs $29,305.00 with Healthnet — 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 |
|---|---|---|---|
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +1% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +22% |
| Providence | Oscar All Commercial Plans | $9,047.00 | ↑ +71% |
| Aetna | Medicare Managed Care Plan | $10,643.53 | ↑ +101% |
| Unitedhealthcare | Select/Navigate Hmo | $10,791.00 | ↑ +104% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $11,151.00 | ↑ +111% |
| Aetna | Gatekeeper Hmo | $11,790.00 | ↑ +123% |
| Unitedhealthcare | All Commercial Plans | $11,921.00 | ↑ +125% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $12,559.20 | ↑ +137% |
| Healthnet | Ambetter Hmo | $19,690.54 | ↑ +272% |
| Blue Shield | Epn Exchange | $20,774.00 | ↑ +293% |
| Blue Shield | Tandem Ppo | $25,813.00 | ↑ +388% |
| Blue Shield | Hmo/Ppo | $28,699.00 | ↑ +443% |
| Healthnet | Hmo/Pos/Ppo | $29,305.00 | ↑ +454% |
Visitor-reported prices
Comments
Insert pm/icd lead dual at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,048.78 | $443.50 – $20,488.56 |
| Arroyo Grande Hospital | Santa Maria | $6,893.37 | $360.57 – $15,783.88 |
| French Hospital | San Luis Obispo | $6,442.52 | $360.57 – $16,106.30 |
| Bakersfield Memorial Hospital | Bakersfield | $5,438.21 | $360.57 – $11,706.22 |
| Providence St Joseph Hospital Eureka | Eureka | $20,155.71 | $8,018.00 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,979.86 | $360.57 – $19,942.44 |
| Mercy Medical Center Merced | Merced | $7,429.39 | $360.57 – $14,281.74 |
| Dominican Hospital | Santa Cruz | $1,737.45 | $360.57 – $12,084.93 |