Intro cath dialysis circuit at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$866.40
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.
$1,805.00
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.
$1,720.93 with Providence vs $21,325.00 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 | $1,720.93 | ↑ +99% |
| Aetna | Medicare Managed Care Plan | $2,024.63 | ↑ +134% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,121.16 | ↑ +145% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,389.03 | ↑ +176% |
| Unitedhealthcare | Select/Navigate Hmo | $3,281.00 | ↑ +279% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↑ +296% |
| Healthnet | Hmo/Pos/Ppo | $3,462.00 | ↑ +300% |
| Unitedhealthcare | All Commercial Plans | $3,633.00 | ↑ +319% |
| Healthnet | Ambetter Hmo | $3,745.56 | ↑ +332% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +518% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +642% |
| Blue Shield | Epn Exchange | $15,436.00 | ↑ +1682% |
| Blue Shield | Tandem Ppo | $19,180.00 | ↑ +2114% |
| Blue Shield | Hmo/Ppo | $21,325.00 | ↑ +2361% |
Visitor-reported prices
Comments
Intro cath dialysis circuit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $762.56 | $470.07 – $3,482.00 |
| Arroyo Grande Hospital | Santa Maria | $1,842.54 | $518.24 – $1,435.00 |
| French Hospital | San Luis Obispo | $1,546.84 | $387.45 – $1,435.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,890.25 | $518.24 – $2,445.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,869.87 | $518.24 – $2,415.03 |
| Queen of The Valley Medical Center | Napa | $2,628.03 | $2,235.08 – $16,692.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,587.63 | $2,024.63 – $17,420.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,448.25 | $0.80 – $1,414.00 |