Knee MRI (with contrast) at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$3,054.72
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.
$6,364.00
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.
$857.02 with Providence vs $6,068.49 with Blue Cross — 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 | $857.02 | ↓ -72% |
| Aetna | Medicare Managed Care Plan | $1,008.25 | ↓ -67% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,056.32 | ↓ -65% |
| Unitedhealthcare | All Commercial Plans | $1,089.31 | ↓ -64% |
| Unitedhealthcare | Select/Navigate Hmo | $1,089.31 | ↓ -64% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,189.72 | ↓ -61% |
| Aetna | Gatekeeper Hmo | $1,837.14 | ↓ -40% |
| Healthnet | Ambetter Hmo | $1,865.27 | ↓ -39% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,057.05 | ↑ +66% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,068.49 | ↑ +99% |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,808.94 | $473.55 – $3,221.40 |
| Banner Lassen Medical Center | Susanville | $2,932.20 | $753.39 – $4,092.43 |
| Petaluma Valley Hospital | Petaluma | $6,093.48 | $1,056.42 – $3,151.45 |
| Queen of The Valley Medical Center | Napa | $8,601.15 | $1,089.31 – $3,982.66 |
| Providence St Joseph Hospital Eureka | Eureka | $4,864.38 | $1,008.25 – $4,516.36 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,237.70 | $1,089.31 – $3,388.28 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,870.75 | $733.99 – $1,865.27 |
| Providence Saint Joseph Medical Center | Burbank | $3,547.60 | $585.98 – $2,265.45 |