Mopath procedure level 8 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
not published by hospital
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.
not published by hospital
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.
$719.33 with Providence vs $30,462.12 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 | $719.33 | — |
| Aetna | Medicare Managed Care Plan | $846.27 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $882.35 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,351.75 | — |
| Healthnet | Ambetter Hmo | $1,565.60 | — |
| Unitedhealthcare | All Commercial Plans | $1,692.54 | — |
| Unitedhealthcare | Select/Navigate Hmo | $1,692.54 | — |
| Aetna | Gatekeeper Hmo | $4,935.53 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $25,385.00 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $30,462.12 | — |
Visitor-reported prices
Comments
Mopath procedure level 8 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $153.71 | $112.34 – $1,396.35 |
| Arroyo Grande Hospital | Santa Maria | $556.40 | $72.77 – $2,180.52 |
| French Hospital | San Luis Obispo | $509.60 | $39.30 – $2,563.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $242.39 | $153.63 – $2,431.90 |
| Bakersfield Memorial Hospital | Bakersfield | $239.78 | $153.63 – $2,431.90 |
| St. Joseph's Behavioral Health Center | Stockton | $373.06 | $30.73 – $245.81 |
| St. Joseph's Medical Center Stockton | Stockton | $192.09 | $64.53 – $307.26 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $602.95 | $26.00 – $50.00 |