Liletta, 52 mg at Providence Holy Cross Medical Center

15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$443.68

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,267.65

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$950.37 with Blue Shield vs $2,674.19 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 →

Payer
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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
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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 $950.37 ↑ +114%
Blue Shield Epn/Ifp Benefit Exchange $1,062.18 ↑ +139%
Blue Shield Hmo/Ppo/Epo $1,062.18 ↑ +139%
Blue Shield Tandem Ppo/Blue High Performance Ppo/Epo $1,062.18 ↑ +139%
Cigna Oap Hmo/Pos $1,891.24 ↑ +326%
Cigna Ppo $1,891.24 ↑ +326%
Unitedhealthcare All Commercial Plans $2,403.87 ↑ +442%
Unitedhealthcare Select/Navigate Hmo $2,403.87 ↑ +442%
Blue Cross All Commercial Plans $2,674.19 ↑ +503%

Visitor-reported prices

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Liletta, 52 mg at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $3,195.45 $845.10 – $7,316.68
Mark Twain Medical Center San Andreas $3,040.61 $417.81 – $1,582.70
Healdsburg Hospital Healdsburg $2,844.61 $950.37 – $2,120.75
Mercy Medical Center Mt. Shasta Mt Shasta $2,139.50 $660.00 – $2,695.00
Northridge Hospital Medical Center Northridge $804.08 $576.40 – $4,276.64
Sequoia Hospital Redwood City $2,174.18 $931.73 – $5,973.00
St. Mary Medical Center Long Beach $3,165.66 $660.19 – $7,362.00
Mercy San Juan Medical Center Carmichael $1,000.10 $401.50 – $3,029.50

All California hospitals for this procedure →