Perq clsr tcat l atr apndge at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$5,121.60
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.
$10,670.00
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.
$7,883.00 with Unitedhealthcare vs $20,778.00 with Blue Shield — 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $7,883.00 | ↑ +54% |
| Unitedhealthcare | All Commercial Plans | $8,704.00 | ↑ +70% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,634.00 | ↑ +166% |
| Blue Shield | Epn Exchange | $15,041.00 | ↑ +194% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,361.00 | ↑ +219% |
| Blue Shield | Tandem Ppo | $18,689.00 | ↑ +265% |
| Blue Shield | Hmo/Ppo | $20,778.00 | ↑ +306% |
Visitor-reported prices
Comments
Perq clsr tcat l atr apndge at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,571.18 | $1,026.80 – $17,044.56 |
| Arroyo Grande Hospital | Santa Maria | $11,014.16 | $678.70 – $25,219.32 |
| French Hospital | San Luis Obispo | $10,087.73 | $678.70 – $25,219.32 |
| Bakersfield Memorial Hospital | Bakersfield | $8,215.67 | $678.70 – $22,162.14 |
| St. Joseph's Medical Center Stockton | Stockton | $6,637.05 | $678.70 – $18,963.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,608.62 | $6,511.00 – $11,377.00 |
| Mercy Medical Center Merced | Merced | $12,279.66 | $678.70 – $23,605.56 |
| Northridge Hospital Medical Center | Northridge | $22,521.44 | $678.70 – $80,722.00 |