Digestive disorders treatment (inpatient stay)
Facility: Providence Mission Hospital
Billing Code: 392 (MS-DRG)
This hospital's typical commercial price is $7,979 compared to the $9,729 fair price benchmark.
5-Star CMS clinical quality rating paired with 0.82× fair market pricing.
Highest price of the 9 CA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.
A fair price for a Digestive disorders treatment (inpatient stay) is about $9,729 (about 1.7× the $5,676 Medicare rate). Providence Mission Hospital charges insurers about $7,979 — below the fair price — a good deal. Located in Mission Viejo, CA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $7,979 - $18,702 | 141% |
| Blue Cross Blue Shieldmajor | $7,979 - $13,846 | 141% |
| Aetnamajor | $7,979 | 141% |
| Cignamajor | $7,979 | 141% |
| Humanamajor | $7,979 | 141% |
| Kaiser Permanentemajor | $7,979 | 141% |
| Health Net | $7,979 - $18,041 | 141% |
| Molina | $7,979 | 141% |
| Providence Health Plan | $7,979 | 141% |
| WellCare | $7,979 | 141% |
| + 10 smaller / regional plans | $7,979 - $8,572 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Providence Mission Hospital
Compare: Digestive disorders treatment (inpatient stay) at other CA hospitals
- College Medical Center · Long Beach $5,150
- Salinas Valley Memorial Hospital · Salinas $6,988
- Shriners Hospitals for Children Northern Calif · Sacramento $7,300
- Good Samaritan Hospital, LP · Bakersfield $7,405
- Casa Colina Hospital · Pomona $7,407
- French Hospital Medical Center · San Luis Obispo $7,451
- Oak Valley Hospital District · Oakdale $7,456
- Adventist Health and Rideout · Marysville $7,527
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Providence Mission Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $6,951
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $6,951).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Providence Mission Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $9,729 Fair BaseRate ($5,676 Medicare)
Your bill ($19,150) is $9,421 above the denoised Fair BaseRate ($9,729) and 3.4× the $5,676 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.