N-invas est c ffr sw aly cta at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,726.08
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.
$3,596.00
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.
$938.81 with Providence vs $10,911.08 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 | $938.81 | ↓ -46% |
| Aetna | Medicare Managed Care Plan | $1,104.48 | ↓ -36% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,157.14 | ↓ -33% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,303.27 | ↓ -24% |
| Unitedhealthcare | All Commercial Plans | $1,593.89 | ↓ -8% |
| Unitedhealthcare | Select/Navigate Hmo | $1,593.89 | ↓ -8% |
| Healthnet | Ambetter Hmo | $2,043.29 | ↑ +18% |
| Aetna | Gatekeeper Hmo | $4,580.73 | ↑ +165% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $9,092.54 | ↑ +427% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $10,911.08 | ↑ +532% |
Visitor-reported prices
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N-invas est c ffr sw aly cta at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Medical Center Stockton | Stockton | $1,714.02 | $612.15 – $2,390.30 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,517.76 | $1,194.91 – $5,711.35 |
| Dominican Hospital | Santa Cruz | $1,916.55 | $2,768.35 – $3,747.92 |
| Sequoia Hospital | Redwood City | $1,586.68 | $1,874.37 – $19,277.00 |
| St. Mary Medical Center | Long Beach | $988.14 | $574.50 – $2,298.00 |
| St Jude Medical Center | Fullerton | $1,719.36 | $938.81 – $2,043.29 |
| Community Hospital San Bernardino | San Bernardino | $855.90 | $1,203.95 – $8,268.00 |
| Providence St Joseph Hospital Orange | Orange | $2,263.68 | $938.81 – $2,043.29 |