Nr lnr acclrtr tx max 5 sessions at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$3,825.12
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.
$7,969.00
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.
$1,954.77 with Providence vs $18,572.25 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 | $1,954.77 | ↓ -49% |
| Aetna | Medicare Managed Care Plan | $2,299.73 | ↓ -40% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,409.38 | ↓ -37% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,713.65 | ↓ -29% |
| Healthnet | Ambetter Hmo | $4,254.51 | ↑ +11% |
| Aetna | Gatekeeper Hmo | $9,084.52 | ↑ +137% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $15,476.82 | ↑ +305% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $18,572.25 | ↑ +386% |
Visitor-reported prices
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Nr lnr acclrtr tx max 5 sessions at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,271.33 | $1,449.44 – $10,470.45 |
| Arroyo Grande Hospital | Santa Maria | $3,488.20 | $958.06 – $11,311.00 |
| Queen of The Valley Medical Center | Napa | $4,855.71 | $2,538.79 – $12,188.69 |
| Providence St Joseph Hospital Eureka | Eureka | $5,990.97 | $2,299.73 – $13,822.05 |
| St. Joseph's Medical Center Stockton | Stockton | $1,698.15 | $958.06 – $5,776.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,593.83 | $2,488.01 – $10,369.65 |
| Mercy Medical Center Merced | Merced | $6,164.04 | $958.06 – $11,969.00 |
| Northridge Hospital Medical Center | Northridge | $5,372.15 | $958.06 – $19,255.00 |