Rmvl icd gen w/rplc icd gen sgl lead sys at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$12,906.72
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.
$26,889.00
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.
$5,357.00 with Blue Cross vs $73,264.00 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 |
|---|---|---|---|
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↓ -58% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↓ -50% |
| Blue Shield | Epn Exchange | $6,920.00 | ↓ -46% |
| Blue Shield | Tandem Ppo | $8,598.00 | ↓ -33% |
| Aetna | Gatekeeper Hmo | $8,912.00 | ↓ -31% |
| Blue Shield | Hmo/Ppo | $9,559.00 | ↓ -26% |
| Unitedhealthcare | Select/Navigate Hmo | $14,208.00 | ↑ +10% |
| Unitedhealthcare | All Commercial Plans | $15,667.00 | ↑ +21% |
| Providence | Oscar All Commercial Plans | $24,317.61 | ↑ +88% |
| Aetna | Medicare Managed Care Plan | $28,608.96 | ↑ +122% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $29,972.98 | ↑ +132% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $33,758.11 | ↑ +162% |
| Healthnet | Ambetter Hmo | $52,926.57 | ↑ +310% |
| Healthnet | Hmo/Pos/Ppo | $73,264.00 | ↑ +468% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $29,632.89 | $456.23 – $57,040.26 |
| Arroyo Grande Hospital | Santa Maria | $35,761.54 | $301.56 – $81,883.90 |
| French Hospital | San Luis Obispo | $33,117.34 | $301.56 – $82,793.34 |
| Bakersfield Memorial Hospital | Bakersfield | $27,680.61 | $301.56 – $59,584.96 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $6,200.00 – $113,226.00 |
| Providence St Joseph Hospital Eureka | Eureka | $33,080.64 | $7,809.00 – $113,226.00 |
| St. Joseph's Medical Center Stockton | Stockton | $18,120.99 | $301.56 – $51,774.24 |
| Santa Rosa Memorial Hospital | Santa Rosa | $34,027.71 | $2,995.00 – $30,951.14 |