CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Providence Mission Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$627
about 1.8× the $356 Medicare rate · typically $477–$1,089
modeled estimate · not a bill or quote
What this hospital charges insurers
$611
About the fair price
about $16 under the fair price · 1.7× Medicare
Medicare pays $356 Fair price $627 This hospital $611 Cash price $4,021 Hospital's list price $8,378

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $90 Priciest $611

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $627 (about 1.8× the $356 Medicare rate). Providence Mission Hospital charges insurers about $611, or about $4,021 in cash — about the fair price. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

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 $611 171%
Blue Cross Blue Shieldmajor $470 - $9,804 132%
Aetnamajor $449 - $1,837 126%
Health Net $830 233%
+ 1 smaller / regional plan $381

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 27700 Medical Center Rd, Mission Viejo, CA 92691
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals