Rmvl pq vad left hrt vein sep session at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$885.60
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.
$1,845.00
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.
$4,666.00 with Unitedhealthcare vs $20,778.00 with Blue Shield — 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $4,666.00 | ↑ +427% |
| Unitedhealthcare | All Commercial Plans | $5,159.00 | ↑ +483% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,634.00 | ↑ +1440% |
| Blue Shield | Epn Exchange | $15,041.00 | ↑ +1598% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,361.00 | ↑ +1747% |
| Blue Shield | Tandem Ppo | $18,689.00 | ↑ +2010% |
| Blue Shield | Hmo/Ppo | $20,778.00 | ↑ +2246% |
Visitor-reported prices
Comments
Rmvl pq vad left hrt vein sep session at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,474.75 | $251.22 – $2,626.26 |
| Arroyo Grande Hospital | Santa Maria | $520.88 | $166.05 – $1,192.66 |
| French Hospital | San Luis Obispo | $477.07 | $166.05 – $1,132.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,993.76 | $166.05 – $4,782.86 |
| Bakersfield Memorial Hospital | Bakersfield | $1,972.26 | $166.05 – $5,320.26 |
| Queen of The Valley Medical Center | Napa | $379.95 | $9,256.00 – $16,265.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,115.08 | $10,413.00 – $16,974.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,887.78 | $166.05 – $5,393.64 |