Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$69.60
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.
$145.00
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.
$12.22 with Providence vs $250.60 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $12.22 | ↓ -82% |
| Aetna | Medicare Managed Care Plan | $14.38 | ↓ -79% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $22.97 | ↓ -67% |
| Healthnet | Ambetter Hmo | $26.60 | ↓ -62% |
| Unitedhealthcare | All Commercial Plans | $28.76 | ↓ -59% |
| Unitedhealthcare | Select/Navigate Hmo | $28.76 | ↓ -59% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $57.40 | ↓ -18% |
| Aetna | Gatekeeper Hmo | $117.90 | ↑ +69% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $208.83 | ↑ +200% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $250.60 | ↑ +260% |
Visitor-reported prices
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Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7.45 | $4.59 – $38.17 |
| Banner Lassen Medical Center | Susanville | $15.62 | $2.88 – $27.16 |
| Petaluma Valley Hospital | Petaluma | $73.95 | $14.09 – $130.14 |
| Arroyo Grande Hospital | Santa Maria | $7.28 | $8.50 – $37.06 |
| Mark Twain Medical Center | San Andreas | $23.95 | $9.21 – $16.66 |
| French Hospital | San Luis Obispo | $6.67 | $4.59 – $43.57 |
| Mercy Hospitals – Bakersfield | Bakersfield | $41.19 | $8.50 – $41.34 |
| Bakersfield Memorial Hospital | Bakersfield | $40.74 | $8.50 – $41.34 |