Peng benzathine/procaine inj 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.
$5.59 with Blue Cross vs $37.35 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 | $5.59 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $5.59 | — |
| Providence | Oscar All Commercial Plans | $16.59 | — |
| Aetna | Medicare Managed Care Plan | $19.52 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $24.64 | — |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $24.90 | — |
| Cigna | All Other Ppo | $24.90 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $27.75 | — |
| Aetna | Gatekeeper Hmo | $34.74 | — |
| Healthnet | Ambetter Hmo | $36.12 | — |
| Unitedhealthcare | All Commercial Plans | $37.35 | — |
| Unitedhealthcare | Select/Navigate Hmo | $37.35 | — |
Visitor-reported prices
Comments
Peng benzathine/procaine inj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $216.81 | $4.52 – $112.32 |
| Arroyo Grande Hospital | Santa Maria | $225.13 | $7.49 – $468.44 |
| Mark Twain Medical Center | San Andreas | $793.40 | $308.19 – $1,167.47 |
| French Hospital | San Luis Obispo | $206.20 | $16.50 – $468.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $243.38 | $12.88 – $524.80 |
| Queen of The Valley Medical Center | Napa | $752.06 | $4.57 – $37.35 |
| Providence St Joseph Hospital Eureka | Eureka | $752.06 | $5.46 – $37.35 |
| St. Joseph's Behavioral Health Center | Stockton | $287.22 | $23.20 – $402.40 |