Repair dental ellis ii fx at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$487.20
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.
$1,015.00
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.
$258.93 with Providence vs $9,559.00 with Blue Shield — 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 | $258.93 | ↓ -47% |
| Aetna | Medicare Managed Care Plan | $304.63 | ↓ -37% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $319.15 | ↓ -34% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $359.46 | ↓ -26% |
| Healthnet | Ambetter Hmo | $563.56 | ↑ +16% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↑ +64% |
| Unitedhealthcare | Select/Navigate Hmo | $1,200.00 | ↑ +146% |
| Unitedhealthcare | All Commercial Plans | $1,312.00 | ↑ +169% |
| Aetna | Gatekeeper Hmo | $3,429.00 | ↑ +604% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +1000% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +1219% |
| Blue Shield | Epn Exchange | $6,920.00 | ↑ +1320% |
| Blue Shield | Tandem Ppo | $8,598.00 | ↑ +1665% |
| Blue Shield | Hmo/Ppo | $9,559.00 | ↑ +1862% |
Visitor-reported prices
Comments
Repair dental ellis ii fx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $274.75 | $304.63 – $4,776.00 |
| Providence Saint Joseph Medical Center | Burbank | $422.10 | $304.63 – $4,751.00 |
| St Jude Medical Center | Fullerton | $430.08 | $258.93 – $5,605.00 |
| Providence St Joseph Hospital Orange | Orange | $397.44 | $258.93 – $6,652.00 |
| Providence Holy Cross Medical Center | Mission Hills | $195.65 | $304.63 – $4,768.00 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $183.40 | $304.63 – $9,636.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $183.40 | $304.63 – $9,648.00 |
| Providence Saint John's Health Center | Santa Monica | $258.30 | $184.68 – $9,891.00 |