Luspatercept-aamt 25 mg subcutaneous solution at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$23,110.91
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.
$48,147.72
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.
$36.34 with Providence vs $88.67 with Unitedhealthcare — 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 | $36.34 | ↓ -100% |
| Aetna | Medicare Managed Care Plan | $42.75 | ↓ -100% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $58.55 | ↓ -100% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $61.52 | ↓ -100% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $61.52 | ↓ -100% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $65.94 | ↓ -100% |
| Cigna | All Other Ppo | $67.31 | ↓ -100% |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $67.31 | ↓ -100% |
| Healthnet | Ambetter Hmo | $79.09 | ↓ -100% |
| Aetna | Gatekeeper Hmo | $83.92 | ↓ -100% |
| Unitedhealthcare | All Commercial Plans | $88.67 | ↓ -100% |
| Unitedhealthcare | Select/Navigate Hmo | $88.67 | ↓ -100% |
Visitor-reported prices
Comments
Luspatercept-aamt 25 mg subcutaneous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $39,478.73 | $5,111.71 – $19,364.02 |
| Bakersfield Memorial Hospital | Bakersfield | $18,095.31 | $53.32 – $12,983.65 |
| Queen of The Valley Medical Center | Napa | $26,131.86 | $42.75 – $88.67 |
| Providence St Joseph Hospital Eureka | Eureka | $26,131.86 | $42.75 – $88.67 |
| Mercy Medical Center Merced | Merced | $12,760.16 | $45.70 – $7,763.46 |
| Sierra Nevada Memorial Hospital | Grass Valley | $23,630.66 | $44.48 – $14,163.94 |
| Sequoia Hospital | Redwood City | $6,764.22 | $36.31 – $5,330.00 |
| Providence Saint Joseph Medical Center | Burbank | $15,728.33 | $41.13 – $88.67 |