Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
$662.33
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.
$1,892.37
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.
$0.23 with Blue Shield vs $1.20 with Unitedhealthcare — 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 Shield | Medicare Managed Care Plan | $0.23 | ↓ -100% |
| Blue Shield | Epn/Ifp Benefit Exchange | $0.26 | ↓ -100% |
| Blue Shield | Hmo/Ppo/Epo | $0.26 | ↓ -100% |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $0.26 | ↓ -100% |
| Cigna | Oap Hmo/Pos | $0.46 | ↓ -100% |
| Cigna | Ppo | $0.46 | ↓ -100% |
| Blue Cross | All Commercial Plans | $0.55 | ↓ -100% |
| Unitedhealthcare | All Commercial Plans | $1.20 | ↓ -100% |
| Unitedhealthcare | Select/Navigate Hmo | $1.20 | ↓ -100% |
Visitor-reported prices
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Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $157.68 | $0.18 – $52.26 |
| Petaluma Valley Hospital | Petaluma | $370.34 | $0.17 – $1.20 |
| Arroyo Grande Hospital | Santa Maria | $512.75 | $0.31 – $52.92 |
| Mark Twain Medical Center | San Andreas | $263.72 | $24.44 – $92.59 |
| French Hospital | San Luis Obispo | $380.24 | $0.27 – $41.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $307.93 | $0.14 – $20.80 |
| Bakersfield Memorial Hospital | Bakersfield | $186.07 | $0.28 – $20.54 |
| Queen of The Valley Medical Center | Napa | $86.03 | $0.19 – $1.20 |