Relocation skin pocket pm at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$1,403.52
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.
?
What you pay up front if you don't use insurance.
$2,924.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,255.66 with Providence vs $11,662.00 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2,255.66 | ↑ +61% |
| Aetna | Medicare Managed Care Plan | $2,653.72 | ↑ +89% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,780.25 | ↑ +98% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $3,131.35 | ↑ +123% |
| Unitedhealthcare | Select/Navigate Hmo | $3,281.00 | ↑ +134% |
| Unitedhealthcare | All Commercial Plans | $3,633.00 | ↑ +159% |
| Aetna | Gatekeeper Hmo | $4,114.00 | ↑ +193% |
| Healthnet | Ambetter Hmo | $4,909.39 | ↑ +250% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↑ +327% |
| Blue Shield | Epn Exchange | $6,920.00 | ↑ +393% |
| Blue Shield | Tandem Ppo | $8,598.00 | ↑ +513% |
| Blue Shield | Hmo/Ppo | $9,559.00 | ↑ +581% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $9,718.00 | ↑ +592% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $11,662.00 | ↑ +731% |
Visitor-reported prices
Comments
Relocation skin pocket pm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,630.68 | $434.05 – $4,331.90 |
| Arroyo Grande Hospital | Santa Maria | $2,448.16 | $352.89 – $5,605.60 |
| French Hospital | San Luis Obispo | $2,281.44 | $352.89 – $5,703.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,744.72 | $352.89 – $3,755.66 |
| Queen of The Valley Medical Center | Napa | $11,834.04 | $2,929.57 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,933.41 | $2,653.72 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,661.10 | $352.89 – $4,746.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,545.92 | $2,870.98 – $5,318.00 |