Parathyrd planar w/spect&ct at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,511.04
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.
$3,148.00
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.
$593.60 with Providence vs $4,257.80 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 | $593.60 | ↓ -61% |
| Aetna | Medicare Managed Care Plan | $698.35 | ↓ -54% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $731.65 | ↓ -52% |
| Unitedhealthcare | All Commercial Plans | $755.17 | ↓ -50% |
| Unitedhealthcare | Select/Navigate Hmo | $755.17 | ↓ -50% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $824.04 | ↓ -45% |
| Healthnet | Ambetter Hmo | $1,291.95 | ↓ -14% |
| Aetna | Gatekeeper Hmo | $1,527.51 | ↑ +1% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $3,548.16 | ↑ +135% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $4,257.80 | ↑ +182% |
Visitor-reported prices
Comments
Parathyrd planar w/spect&ct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,814.20 | $552.09 – $3,230.76 |
| Sierra Nevada Memorial Hospital | Grass Valley | $2,729.36 | $364.92 – $4,907.84 |
| California Hospital Medical Center | Los Angeles | $1,055.36 | $328.43 – $1,824.60 |
| St Jude Medical Center | Fullerton | $1,075.20 | $593.60 – $1,291.95 |
| Providence St Joseph Hospital Orange | Orange | $2,117.28 | $593.60 – $1,291.95 |
| Mercy San Juan Medical Center | Carmichael | $1,591.94 | $354.27 – $4,822.30 |
| Mercy General Hospital | Sacramento | $1,266.58 | $354.27 – $4,648.00 |
| Mercy Hospital of Folsom | Folsom | $2,260.09 | $354.27 – $4,764.20 |