Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$179.04
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.
$373.00
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.
$20.47 with Providence vs $309.01 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 | $20.47 | ↓ -89% |
| Aetna | Medicare Managed Care Plan | $24.08 | ↓ -87% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $37.02 | ↓ -79% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $38.46 | ↓ -79% |
| Healthnet | Ambetter Hmo | $44.55 | ↓ -75% |
| Unitedhealthcare | All Commercial Plans | $48.16 | ↓ -73% |
| Unitedhealthcare | Select/Navigate Hmo | $48.16 | ↓ -73% |
| Aetna | Gatekeeper Hmo | $198.79 | ↑ +11% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $257.51 | ↑ +44% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $309.01 | ↑ +73% |
Visitor-reported prices
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Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $48.55 | $4.82 – $84.39 |
| Petaluma Valley Hospital | Petaluma | $309.57 | $23.60 – $153.60 |
| Arroyo Grande Hospital | Santa Maria | $105.72 | $5.00 – $62.04 |
| Mark Twain Medical Center | San Andreas | $122.55 | $5.42 – $10.00 |
| French Hospital | San Luis Obispo | $96.83 | $2.70 – $72.93 |
| Mercy Hospitals – Bakersfield | Bakersfield | $26.35 | $12.04 – $69.19 |
| Bakersfield Memorial Hospital | Bakersfield | $26.06 | $12.04 – $69.19 |
| Queen of The Valley Medical Center | Napa | $340.68 | $24.08 – $194.12 |