Amantadine (symmetrel)-sendout at Banner Lassen Medical Center

1800 Spring Ridge Drive, Susanville, CA · Banner Health · · NPI 1538197231

Source: hospital's published price file ↗ · Published Feb 12, 2026 · Ingested Aug 12, 2026

$85.76

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.

$137.00

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.

$4.51 with Anthem Blue Cross California vs $10.67 with Health Net — 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
Anthem Blue Cross California Medicare Advantage $4.51 ↓ -95%
Banner Health Banner Choice Plus/Banner Select $4.51 ↓ -95%
United Healthcare UHC Medicare Advantage $4.51 ↓ -95%
Network Providers, LLC California Prison Health Care Services (CPHCS) $5.86 ↓ -93%
Imperial Health Plan of California, Inc Medi-Medi/Medicare Advantage $6.09 ↓ -93%
Blue Shield of California CalPERS PPO $9.57 ↓ -89%
Multiplan Commercial $9.90 ↓ -88%
United Healthcare Commercial $10.23 ↓ -88%
Cigna Healthcare & Life Insurance Company – WY Commercial $10.45 ↓ -88%
First Health Medical Rental $10.56 ↓ -88%
Coventry Workers Comp $10.56 ↓ -88%
Coventry Commercial $10.56 ↓ -88%
Health Net Medicare $10.67 ↓ -88%
Health Net Commercial Exchange $10.67 ↓ -88%

Visitor-reported prices

visitor-reported
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Amantadine (symmetrel)-sendout at other California hospitals

Hospital City Cash price Negotiated range
Providence Cedars-Sinai Tarzana Medical Center Tarzana $31.21 $0.02 – $110.92
Providence Saint Joseph Medical Center Burbank $31.21 $0.02 – $111.14
Providence Holy Cross Medical Center Mission Hills $31.21 $0.02 – $88.00
Providence Little Co of Mary Med Center San Pedro San Pedro $31.21 $0.02 – $90.81
Providence Little Company of Mary Med Center Torrance Torrance $31.21 $0.02 – $87.23
Petaluma Valley Hospital Petaluma not published $0.06 – $135.08
Queen of The Valley Medical Center Napa not published $0.07 – $170.71
Providence St Joseph Hospital Eureka Eureka not published $322.68 – $322.68

All California hospitals for this procedure →