Assay of leflunomide at Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
not published by hospital
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.
not published by hospital
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.
$38.57 with Aetna vs $263.05 with Blue Shield — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $38.57 | — |
| Humana | Choicecare Medicare Managed Care Plan | $39.34 | — |
| Central Health Plan | Medicare Managed Care Plan | $42.43 | — |
| La Care Health Plan | Exchange | $50.14 | — |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $54.71 | — |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $61.61 | — |
| Cigna | Ppo | $67.94 | — |
| Cigna | Oap Hmo/Pos | $67.94 | — |
| Blue Cross | All Commercial Plans | $69.61 | — |
| Healthnet | Ambetter Hmo | $71.35 | — |
| Aetna | All Commercial Plans | $71.46 | — |
| Blue Shield | Epn/Ifp Benefit Exchange | $73.67 | — |
| Unitedhealthcare | Select/Navigate Hmo | $77.14 | — |
| Unitedhealthcare | All Commercial Plans | $77.14 | — |
| First Health/Coventry | Coventry All Commercial Plans | $77.14 | — |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $80.61 | — |
| Healthnet | Ambetter Ppo | $82.54 | — |
| Blue Shield | Hmo/Ppo/Epo | $89.10 | — |
| Blue Shield | Medicare Managed Care Plan | $263.05 | — |
Visitor-reported prices
Comments
Assay of leflunomide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $71.40 | $37.80 – $106.84 |
| Arroyo Grande Hospital | Santa Maria | $28.30 | $30.86 – $99.38 |
| French Hospital | San Luis Obispo | $25.92 | $17.85 – $116.83 |
| Queen of The Valley Medical Center | Napa | $71.40 | $38.57 – $135.01 |
| Providence St Joseph Hospital Eureka | Eureka | $71.40 | $38.57 – $255.18 |
| Redwood Memorial Hospital | Fortuna | $71.40 | $255.78 – $255.78 |
| Santa Rosa Memorial Hospital | Santa Rosa | $71.40 | $37.80 – $114.87 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $67.20 | $32.78 – $77.14 |