Immunoassay tumor antigen quantitative ca 125 at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$61.44
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.
$128.00
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.
$17.69 with Providence vs $302.04 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 | $17.69 | ↓ -71% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $19.50 | ↓ -68% |
| Aetna | Medicare Managed Care Plan | $20.81 | ↓ -66% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $33.24 | ↓ -46% |
| Healthnet | Ambetter Hmo | $38.50 | ↓ -37% |
| Unitedhealthcare | All Commercial Plans | $41.62 | ↓ -32% |
| Unitedhealthcare | Select/Navigate Hmo | $41.62 | ↓ -32% |
| Aetna | Gatekeeper Hmo | $167.41 | ↑ +172% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $251.70 | ↑ +310% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $302.04 | ↑ +392% |
Visitor-reported prices
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Immunoassay tumor antigen quantitative ca 125 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $103.37 | $2.97 – $55.23 |
| Banner Lassen Medical Center | Susanville | $7.64 | $4.16 – $30.52 |
| Petaluma Valley Hospital | Petaluma | $198.90 | $20.39 – $169.76 |
| Arroyo Grande Hospital | Santa Maria | $106.15 | $5.50 – $53.63 |
| Mark Twain Medical Center | San Andreas | $34.66 | $18.50 – $50.99 |
| French Hospital | San Luis Obispo | $97.22 | $2.97 – $63.05 |
| Mercy Hospitals – Bakersfield | Bakersfield | $67.16 | $5.50 – $59.82 |
| Bakersfield Memorial Hospital | Bakersfield | $66.43 | $5.50 – $59.82 |