Prq trluml c angiop 1art&/br at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$4,722.24
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.
$9,838.00
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.
$6,222.26 with Providence vs $19,606.00 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 | $6,222.26 | ↑ +32% |
| Aetna | Medicare Managed Care Plan | $7,320.30 | ↑ +55% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7,669.32 | ↑ +62% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $8,637.84 | ↑ +83% |
| Unitedhealthcare | Select/Navigate Hmo | $10,791.00 | ↑ +129% |
| Blue Shield | Epn Exchange | $11,117.00 | ↑ +135% |
| Unitedhealthcare | All Commercial Plans | $11,921.00 | ↑ +152% |
| Healthnet | Ambetter Hmo | $13,542.56 | ↑ +187% |
| Blue Shield | Tandem Ppo | $13,814.00 | ↑ +193% |
| Blue Shield | Hmo/Ppo | $15,358.00 | ↑ +225% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $16,338.00 | ↑ +246% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +253% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $19,606.00 | ↑ +315% |
Visitor-reported prices
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Prq trluml c angiop 1art&/br at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,783.31 | $658.30 – $13,090.66 |
| Queen of The Valley Medical Center | Napa | $9,938.88 | $8,081.23 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $8,073.30 | $7,320.30 – $27,307.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $12,617.40 | $4,812.00 – $15,575.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $4,281.90 | $2,455.00 – $12,111.00 |
| Providence Saint Joseph Medical Center | Burbank | $5,315.10 | $2,455.00 – $12,111.00 |
| St Jude Medical Center | Fullerton | $7,414.56 | $6,222.26 – $13,542.56 |
| Providence St Joseph Hospital Orange | Orange | $3,992.64 | $6,222.26 – $13,542.56 |