Pegaspargase injection at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
not published by hospital
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.
not published by hospital
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.
$2,205.40 with Blue Cross vs $58,201.64 with Unitedhealthcare — 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 |
|---|---|---|---|
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $2,205.40 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $2,205.40 | — |
| Providence | Oscar All Commercial Plans | $24,160.45 | — |
| Aetna | Medicare Managed Care Plan | $28,424.06 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $38,396.84 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $43,239.76 | — |
| Cigna | All Other Ppo | $44,181.16 | — |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $44,181.16 | — |
| Healthnet | Ambetter Hmo | $52,584.51 | — |
| Aetna | Gatekeeper Hmo | $56,848.12 | — |
| Unitedhealthcare | All Commercial Plans | $58,201.64 | — |
| Unitedhealthcare | Select/Navigate Hmo | $58,201.64 | — |
Visitor-reported prices
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Pegaspargase injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,924.72 | $1,780.12 – $46,568.98 |
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $2,952.12 – $37,500.00 |
| French Hospital | San Luis Obispo | $14,700.00 | $10,125.00 – $36,750.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $28,999.96 | $6,342.10 – $27,074.99 |
| Bakersfield Memorial Hospital | Bakersfield | $28,687.29 | $2,660.44 – $24,824.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $46,524.80 | $1,791.47 – $58,201.64 |
| Mercy Medical Center Merced | Merced | $20,229.20 | $1,913.18 – $13,721.40 |
| Dominican Hospital | Santa Cruz | $20,926.80 | $2,448.94 – $122,228.63 |