Prq trluml revsc ch occ ant at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$8,595.84
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.
$17,908.00
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.
$10,791.00 with Unitedhealthcare vs $39,963.00 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $10,791.00 | ↑ +26% |
| Blue Shield | Epn Exchange | $11,117.00 | ↑ +29% |
| Unitedhealthcare | All Commercial Plans | $11,921.00 | ↑ +39% |
| Providence | Oscar All Commercial Plans | $12,620.59 | ↑ +47% |
| Blue Shield | Tandem Ppo | $13,814.00 | ↑ +61% |
| Aetna | Medicare Managed Care Plan | $14,847.76 | ↑ +73% |
| Blue Shield | Hmo/Ppo | $15,358.00 | ↑ +79% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $15,555.67 | ↑ +81% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $16,338.00 | ↑ +90% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $17,520.12 | ↑ +104% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $19,606.00 | ↑ +128% |
| Healthnet | Ambetter Hmo | $27,468.35 | ↑ +220% |
| Healthnet | Hmo/Pos/Ppo | $39,963.00 | ↑ +365% |
Visitor-reported prices
Comments
Prq trluml revsc ch occ ant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,305.71 | $818.75 – $26,644.42 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $12,546.00 – $62,607.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,529.25 | $4,812.00 – $16,391.15 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,596.80 | $2,455.00 – $27,468.35 |
| Providence Saint Joseph Medical Center | Burbank | $5,335.75 | $2,455.00 – $27,468.35 |
| St Jude Medical Center | Fullerton | $8,154.72 | $9,004.00 – $27,468.35 |
| Providence St Joseph Hospital Orange | Orange | $9,000.00 | $10,687.00 – $27,468.35 |
| Providence Holy Cross Medical Center | Mission Hills | $7,149.10 | $2,455.00 – $27,468.35 |