Perq plmt bile duct stent at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$12,989.28
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.
$27,061.00
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.
$5,357.00 with Blue Cross vs $16,652.00 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 |
|---|---|---|---|
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↓ -59% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↓ -51% |
| Providence | Oscar All Commercial Plans | $6,609.22 | ↓ -49% |
| Aetna | Medicare Managed Care Plan | $7,775.56 | ↓ -40% |
| Blue Shield | Epn Exchange | $7,908.00 | ↓ -39% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $8,146.28 | ↓ -37% |
| Aetna | Gatekeeper Hmo | $8,912.00 | ↓ -31% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $9,175.04 | ↓ -29% |
| Blue Shield | Tandem Ppo | $9,826.00 | ↓ -24% |
| Unitedhealthcare | Select/Navigate Hmo | $10,791.00 | ↓ -17% |
| Blue Shield | Hmo/Ppo | $10,925.00 | ↓ -16% |
| Unitedhealthcare | All Commercial Plans | $11,921.00 | ↓ -8% |
| Healthnet | Ambetter Hmo | $14,384.78 | ↑ +11% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +28% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,759.70 | $3,550.50 – $13,082.50 |
| Arroyo Grande Hospital | Santa Maria | $8,812.95 | $4,746.45 – $19,591.18 |
| French Hospital | San Luis Obispo | $7,836.48 | $4,746.45 – $19,591.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,458.53 | $4,746.45 – $11,770.40 |
| St. Joseph's Medical Center Stockton | Stockton | $7,085.70 | $4,746.45 – $20,244.84 |
| Northridge Hospital Medical Center | Northridge | $3,913.82 | $3,226.44 – $21,786.21 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,364.40 | $1,747.00 – $12,111.00 |
| California Hospital Medical Center | Los Angeles | $4,683.65 | $2,414.25 – $23,732.25 |