Lymph vessel x-ray trunk at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$4,973.76
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.
$10,362.00
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.
$2,274.19 with Blue Cross vs $7,512.94 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 | $2,274.19 | ↓ -54% |
| Aetna | Gatekeeper Hmo | $2,325.65 | ↓ -53% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,729.04 | ↓ -45% |
| Providence | Oscar All Commercial Plans | $3,451.89 | ↓ -31% |
| Aetna | Medicare Managed Care Plan | $4,061.05 | ↓ -18% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,254.67 | ↓ -14% |
| Unitedhealthcare | All Commercial Plans | $4,434.05 | ↓ -11% |
| Unitedhealthcare | Select/Navigate Hmo | $4,434.05 | ↓ -11% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,791.97 | ↓ -4% |
| Healthnet | Ambetter Hmo | $7,512.94 | ↑ +51% |
Visitor-reported prices
Comments
Lymph vessel x-ray trunk at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,695.50 | $300.53 – $13,858.31 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,729.45 | $198.64 – $15,009.21 |
| Bakersfield Memorial Hospital | Bakersfield | $2,700.02 | $198.64 – $15,009.21 |
| St. Joseph's Medical Center Stockton | Stockton | $1,351.23 | $198.64 – $3,785.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,628.76 | $1,523.74 – $4,434.05 |
| Mercy Medical Center Merced | Merced | $4,057.17 | $198.64 – $3,641.20 |
| Dominican Hospital | Santa Cruz | $6,503.40 | $198.64 – $46,769.24 |
| Northridge Hospital Medical Center | Northridge | $1,412.86 | $198.64 – $9,522.92 |