H pylori (c-13) breath at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$29.76
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.
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What you pay up front if you don't use insurance.
$62.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$8.07 with Blue Cross vs $1,005.56 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 Vivity City Of La Other Commercial Plan | $8.07 | ↓ -73% |
| Providence | Oscar All Commercial Plans | $57.26 | ↑ +92% |
| Aetna | Medicare Managed Care Plan | $67.36 | ↑ +126% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $107.59 | ↑ +262% |
| Healthnet | Ambetter Hmo | $124.62 | ↑ +319% |
| Unitedhealthcare | Select/Navigate Hmo | $134.72 | ↑ +353% |
| Unitedhealthcare | All Commercial Plans | $134.72 | ↑ +353% |
| Aetna | Gatekeeper Hmo | $552.30 | ↑ +1756% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $837.96 | ↑ +2716% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $1,005.56 | ↑ +3279% |
Visitor-reported prices
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H pylori (c-13) breath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $28.04 | $16.64 – $178.71 |
| Petaluma Valley Hospital | Petaluma | $403.41 | $66.01 – $522.20 |
| Arroyo Grande Hospital | Santa Maria | $290.62 | $30.36 – $173.54 |
| Mark Twain Medical Center | San Andreas | $41.03 | $33.35 – $61.60 |
| French Hospital | San Luis Obispo | $266.17 | $16.64 – $204.01 |
| Queen of The Valley Medical Center | Napa | $607.41 | $67.36 – $659.93 |
| Providence St Joseph Hospital Eureka | Eureka | $541.62 | $67.36 – $748.37 |
| Healdsburg Hospital | Healdsburg | $109.65 | $67.36 – $298.53 |