Lipoprotein blood quant at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
$30.14
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.
$62.79
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.
$29.06 with Providence vs $448.21 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 | $29.06 | ↓ -4% |
| Aetna | Medicare Managed Care Plan | $34.19 | ↑ +13% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $40.23 | ↑ +33% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $54.61 | ↑ +81% |
| Healthnet | Ambetter Hmo | $63.25 | ↑ +110% |
| Unitedhealthcare | All Commercial Plans | $68.38 | ↑ +127% |
| Unitedhealthcare | Select/Navigate Hmo | $68.38 | ↑ +127% |
| Aetna | Gatekeeper Hmo | $253.73 | ↑ +742% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $373.51 | ↑ +1139% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $448.21 | ↑ +1387% |
Visitor-reported prices
Comments
Lipoprotein blood quant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $16.90 | $6.84 – $46.28 |
| Petaluma Valley Hospital | Petaluma | $32.02 | $33.51 – $251.92 |
| Arroyo Grande Hospital | Santa Maria | $29.96 | $7.04 – $88.08 |
| Mark Twain Medical Center | San Andreas | $40.04 | $7.63 – $14.08 |
| French Hospital | San Luis Obispo | $27.44 | $3.81 – $103.55 |
| Queen of The Valley Medical Center | Napa | $32.02 | $34.19 – $318.37 |
| Providence St Joseph Hospital Eureka | Eureka | $32.02 | $34.19 – $361.03 |
| Redwood Memorial Hospital | Fortuna | $32.02 | $361.87 – $361.87 |