Prq card angio/athrect addl at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$9,003.84
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.
$18,758.00
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.
$9,718.00 with Blue Cross vs $15,667.00 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 | $9,718.00 | ↑ +8% |
| Blue Shield | Epn Exchange | $11,117.00 | ↑ +23% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $11,662.00 | ↑ +30% |
| Blue Shield | Tandem Ppo | $13,814.00 | ↑ +53% |
| Unitedhealthcare | Select/Navigate Hmo | $14,208.00 | ↑ +58% |
| Blue Shield | Hmo/Ppo | $15,358.00 | ↑ +71% |
| Unitedhealthcare | All Commercial Plans | $15,667.00 | ↑ +74% |
Visitor-reported prices
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Prq card angio/athrect addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $12,914.87 | $7,961.22 – $22,999.08 |
| Bakersfield Memorial Hospital | Bakersfield | $13,289.07 | $1,333.64 – $35,847.90 |
| St. Joseph's Medical Center Stockton | Stockton | $13,674.53 | $9,767.52 – $39,070.08 |
| Mercy Medical Center Merced | Merced | $18,580.17 | $1,161.88 – $12,845.25 |
| Dominican Hospital | Santa Cruz | $10,108.80 | $14,601.60 – $20,217.60 |
| Northridge Hospital Medical Center | Northridge | $11,245.94 | $1,343.74 – $40,308.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,494.50 | $2,455.00 – $13,560.00 |
| California Hospital Medical Center | Los Angeles | $12,725.92 | $1,262.91 – $20,728.81 |