MRI breast without cont bi at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,434.08
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.
$5,071.00
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.
$260.85 with Providence vs $2,770.42 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 | $260.85 | ↓ -89% |
| Aetna | Medicare Managed Care Plan | $306.88 | ↓ -87% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $321.51 | ↓ -87% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $362.12 | ↓ -85% |
| Unitedhealthcare | All Commercial Plans | $372.86 | ↓ -85% |
| Unitedhealthcare | Select/Navigate Hmo | $372.86 | ↓ -85% |
| Healthnet | Ambetter Hmo | $567.73 | ↓ -77% |
| Aetna | Gatekeeper Hmo | $1,837.14 | ↓ -25% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,308.67 | ↓ -5% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,770.42 | ↑ +14% |
Visitor-reported prices
Comments
MRI breast without cont bi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,141.82 | $307.13 – $3,814.20 |
| Banner Lassen Medical Center | Susanville | $1,241.96 | $48.34 – $1,733.39 |
| Arroyo Grande Hospital | Santa Maria | $1,581.89 | $214.07 – $3,294.76 |
| Mark Twain Medical Center | San Andreas | $10,247.08 | $214.07 – $3,829.84 |
| French Hospital | San Luis Obispo | $1,263.81 | $214.07 – $2,111.00 |
| Queen of The Valley Medical Center | Napa | $4,849.59 | $338.78 – $1,767.69 |
| Providence St Joseph Hospital Eureka | Eureka | $3,839.28 | $306.88 – $1,932.98 |
| St. Joseph's Medical Center Stockton | Stockton | $1,526.75 | $214.07 – $4,258.26 |