Assessment leukocyte fecal qualitative/semiquantitative at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$6.24
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.
$13.00
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.
$3.63 with Providence vs $67.09 with Blue Cross — 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $3.63 | ↓ -42% |
| Aetna | Medicare Managed Care Plan | $4.27 | ↓ -32% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $6.82 | ↑ +9% |
| Healthnet | Ambetter Hmo | $7.90 | ↑ +27% |
| Unitedhealthcare | All Commercial Plans | $8.54 | ↑ +37% |
| Unitedhealthcare | Select/Navigate Hmo | $8.54 | ↑ +37% |
| Aetna | Gatekeeper Hmo | $35.03 | ↑ +461% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $55.91 | ↑ +796% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $67.09 | ↑ +975% |
Visitor-reported prices
Comments
Assessment leukocyte fecal qualitative/semiquantitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $2.77 | $0.85 – $6.27 |
| Petaluma Valley Hospital | Petaluma | $129.03 | $4.18 – $34.84 |
| Arroyo Grande Hospital | Santa Maria | $148.52 | $3.41 – $12.74 |
| Mark Twain Medical Center | San Andreas | $103.23 | $3.80 – $151.90 |
| French Hospital | San Luis Obispo | $136.03 | $3.41 – $12.95 |
| Mercy Hospitals – Bakersfield | Bakersfield | $82.37 | $3.80 – $37.60 |
| Bakersfield Memorial Hospital | Bakersfield | $81.48 | $3.80 – $37.13 |
| Queen of The Valley Medical Center | Napa | $139.74 | $4.27 – $44.03 |