Factor ix at Banner Lassen Medical Center
1800 Spring Ridge Drive, Susanville, CA · Banner Health · · NPI 1538197231
$17.28
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.
$29.00
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.
$3.81 with Anthem Blue Cross California vs $27.93 with Partnership HealthPlan of CA — 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 |
|---|---|---|---|
| Anthem Blue Cross California | Medicare Advantage | $3.81 | ↓ -78% |
| Banner Health | Banner Choice Plus/Banner Select | $10.25 | ↓ -41% |
| United Healthcare | UHC Medicare Advantage | $10.25 | ↓ -41% |
| Network Providers, LLC | California Prison Health Care Services (CPHCS) | $13.32 | ↓ -23% |
| Imperial Health Plan of California, Inc | Medi-Medi/Medicare Advantage | $13.84 | ↓ -20% |
| Blue Shield of California | CalPERS PPO | $21.75 | ↑ +26% |
| Multiplan | Commercial | $22.50 | ↑ +30% |
| United Healthcare | Commercial | $23.25 | ↑ +35% |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $23.75 | ↑ +37% |
| Coventry | Commercial | $24.00 | ↑ +39% |
| First Health | Medical Rental | $24.00 | ↑ +39% |
| Coventry | Workers Comp | $24.00 | ↑ +39% |
| Health Net | Commercial Exchange | $24.25 | ↑ +40% |
| Health Net | Medicare | $24.25 | ↑ +40% |
| Partnership HealthPlan of CA | Partnership Medi-Cal | $27.93 | ↑ +62% |
Visitor-reported prices
Comments
Factor ix at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $14.42 | $8.89 – $50.54 |
| Petaluma Valley Hospital | Petaluma | $93.87 | $18.66 – $155.42 |
| Arroyo Grande Hospital | Santa Maria | $97.60 | $16.46 – $49.07 |
| Mark Twain Medical Center | San Andreas | $21.92 | $17.82 – $32.26 |
| French Hospital | San Luis Obispo | $89.39 | $8.89 – $57.69 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12.21 | $16.46 – $54.73 |
| Bakersfield Memorial Hospital | Bakersfield | $12.08 | $16.46 – $54.73 |
| Queen of The Valley Medical Center | Napa | $93.87 | $19.04 – $196.41 |