Pet fdg brain metoblic eval sb at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$3,517.92
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.
$7,329.00
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.
$1,563.28 with Providence vs $9,618.00 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 | $1,563.28 | ↓ -56% |
| Aetna | Medicare Managed Care Plan | $1,839.15 | ↓ -48% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,926.84 | ↓ -45% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,170.17 | ↓ -38% |
| Unitedhealthcare | All Commercial Plans | $2,308.94 | ↓ -34% |
| Unitedhealthcare | Select/Navigate Hmo | $2,308.94 | ↓ -34% |
| Healthnet | Ambetter Hmo | $3,402.43 | ↓ -3% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $8,014.97 | ↑ +128% |
| Aetna | Gatekeeper Hmo | $8,226.00 | ↑ +134% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $9,618.00 | ↑ +173% |
Visitor-reported prices
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Pet fdg brain metoblic eval sb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $5,082.93 | $1,853.28 – $11,638.48 |
| Mark Twain Medical Center | San Andreas | $2,880.45 | $925.89 – $3,507.42 |
| French Hospital | San Luis Obispo | $1,931.78 | $1,330.56 – $4,829.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,448.39 | $1,853.28 – $3,330.77 |
| Bakersfield Memorial Hospital | Bakersfield | $1,432.77 | $1,374.36 – $3,084.16 |
| Queen of The Valley Medical Center | Napa | $5,614.59 | $2,030.33 – $6,312.15 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,218.72 | $1,989.72 – $5,370.12 |
| Mercy Medical Center Merced | Merced | $2,271.15 | $1,197.36 – $2,019.00 |