Revision tips at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$8,331.84
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.
?
What you pay up front if you don't use insurance.
$17,358.00
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.
$5,171.00 with Blue Shield vs $17,688.00 with Aetna — 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $5,171.00 | ↓ -38% |
| Providence | Oscar All Commercial Plans | $6,222.26 | ↓ -25% |
| Blue Shield | Tandem Ppo | $6,425.00 | ↓ -23% |
| Blue Shield | Hmo/Ppo | $7,143.00 | ↓ -14% |
| Aetna | Medicare Managed Care Plan | $7,320.30 | ↓ -12% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7,669.32 | ↓ -8% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $8,637.84 | ↑ +4% |
| Healthnet | Ambetter Hmo | $13,542.56 | ↑ +63% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,634.00 | ↑ +64% |
| Unitedhealthcare | Select/Navigate Hmo | $14,208.00 | ↑ +71% |
| Unitedhealthcare | All Commercial Plans | $15,667.00 | ↑ +88% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,361.00 | ↑ +96% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +100% |
| Aetna | Gatekeeper Hmo | $17,688.00 | ↑ +112% |
Visitor-reported prices
Comments
Revision tips at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,078.52 | $377.94 – $13,090.66 |
| Arroyo Grande Hospital | Santa Maria | $41,050.34 | $249.81 – $25,078.20 |
| French Hospital | San Luis Obispo | $38,254.89 | $249.81 – $25,078.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14,616.29 | $249.81 – $31,517.60 |
| Bakersfield Memorial Hospital | Bakersfield | $14,458.70 | $249.81 – $31,123.63 |
| St. Joseph's Medical Center Stockton | Stockton | $4,848.65 | $249.81 – $13,853.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,368.89 | $2,238.00 – $20,488.00 |
| Mercy Medical Center Merced | Merced | $19,754.37 | $249.81 – $37,974.42 |