Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$5,612.16
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.
$11,692.00
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.
$11,426.56 with Providence vs $39,963.00 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $11,426.56 | ↑ +104% |
| Aetna | Gatekeeper Hmo | $11,790.00 | ↑ +110% |
| Aetna | Medicare Managed Care Plan | $13,443.01 | ↑ +140% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,634.00 | ↑ +143% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $14,083.95 | ↑ +151% |
| Unitedhealthcare | Select/Navigate Hmo | $14,208.00 | ↑ +153% |
| Unitedhealthcare | All Commercial Plans | $15,667.00 | ↑ +179% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $15,862.54 | ↑ +183% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,361.00 | ↑ +192% |
| Blue Shield | Epn Exchange | $20,774.00 | ↑ +270% |
| Healthnet | Ambetter Hmo | $24,869.57 | ↑ +343% |
| Blue Shield | Tandem Ppo | $25,813.00 | ↑ +360% |
| Blue Shield | Hmo/Ppo | $28,699.00 | ↑ +411% |
| Healthnet | Hmo/Pos/Ppo | $39,963.00 | ↑ +612% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,560.74 | $1,050.96 – $31,272.54 |
| Arroyo Grande Hospital | Santa Maria | $16,040.16 | $854.44 – $36,727.46 |
| French Hospital | San Luis Obispo | $14,990.48 | $854.44 – $37,476.18 |
| Bakersfield Memorial Hospital | Bakersfield | $15,006.63 | $854.44 – $32,303.10 |
| Queen of The Valley Medical Center | Napa | $22,043.73 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $11,046.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $11,059.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,098.50 | $854.44 – $31,710.00 |