Thrombectomy/inf pq dialysis circuit w/stent plcmnt at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$18,698.88
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.
$38,956.00
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.
$9,718.00 with Blue Cross vs $59,944.00 with Healthnet — 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 Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $9,718.00 | ↓ -48% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $11,662.00 | ↓ -38% |
| Aetna | Gatekeeper Hmo | $11,790.00 | ↓ -37% |
| Unitedhealthcare | Select/Navigate Hmo | $14,208.00 | ↓ -24% |
| Unitedhealthcare | All Commercial Plans | $15,667.00 | ↓ -16% |
| Providence | Oscar All Commercial Plans | $20,040.92 | ↑ +7% |
| Blue Shield | Epn Exchange | $20,774.00 | ↑ +11% |
| Aetna | Medicare Managed Care Plan | $23,577.55 | ↑ +26% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $24,701.69 | ↑ +32% |
| Blue Shield | Tandem Ppo | $25,813.00 | ↑ +38% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $27,821.13 | ↑ +49% |
| Blue Shield | Hmo/Ppo | $28,699.00 | ↑ +53% |
| Healthnet | Ambetter Hmo | $43,618.46 | ↑ +133% |
| Healthnet | Hmo/Pos/Ppo | $59,944.00 | ↑ +221% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/stent plcmnt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15,553.82 | $9,470.53 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $16,888.88 | $6,259.85 – $37,265.48 |
| French Hospital | San Luis Obispo | $15,046.53 | $6,259.85 – $31,639.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14,082.79 | $6,259.85 – $24,252.80 |
| Bakersfield Memorial Hospital | Bakersfield | $14,118.13 | $6,259.85 – $29,987.61 |
| Queen of The Valley Medical Center | Napa | $30,013.50 | $7,745.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $18,127.95 | $9,008.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $21,100.97 | $0.80 – $30,178.68 |