Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$94.08
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.
$196.00
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.
$27.26 with Providence vs $59.33 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $27.26 | ↓ -71% |
| Aetna | Medicare Managed Care Plan | $32.07 | ↓ -66% |
| Healthnet | Ambetter Hmo | $59.33 | ↓ -37% |
Visitor-reported prices
Comments
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $237.84 | $15.47 – $543.00 |
| Banner Lassen Medical Center | Susanville | $110.62 | $10.51 – $148.41 |
| Petaluma Valley Hospital | Petaluma | $150.96 | $29.86 – $30.47 |
| Queen of The Valley Medical Center | Napa | $170.85 | $30.47 – $30.47 |
| Providence St Joseph Hospital Eureka | Eureka | $120.87 | $30.47 – $30.47 |
| Healdsburg Hospital | Healdsburg | $84.66 | $30.47 – $75.91 |
| Redwood Memorial Hospital | Fortuna | $105.06 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $182.07 | $29.86 – $30.47 |