Assay of leflunomide at ADVENTIST HEALTH TULARE

869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711

Source: hospital's published price file ↗ · Published May 22, 2026 · Ingested Sep 16, 2026

$7.33

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.

$38.57

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.

$12.19 with BLUE SHIELD EPN vs $237.19 with AETNA-ALL PLANS — 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 EPN BLUE SHIELD EPN $12.19 ↑ +66%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $16.86 ↑ +130%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $17.74 ↑ +142%
CIGNA-ALL PLANS CIGNA-ALL PLANS $17.86 ↑ +144%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $25.07 ↑ +242%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $25.84 ↑ +253%
UHC JLL UHC JLL $26.54 ↑ +262%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $27.94 ↑ +281%
MEDI-CAL MEDI-CAL $30.86 ↑ +321%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $32.78 ↑ +347%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $33.95 ↑ +363%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $33.95 ↑ +363%
BLUE CROSS MCAL BLUE CROSS MCAL $36.26 ↑ +395%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $38.57 ↑ +426%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $38.57 ↑ +426%
BLUE SHIELD MCARE BLUE SHIELD MCARE $38.57 ↑ +426%
UHC MCR ADV UHC MCR ADV $38.57 ↑ +426%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $38.57 ↑ +426%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $38.57 ↑ +426%
DIGNITY MCR OP ONLY - ALL OTHER PLANS DIGNITY MCR OP ONLY - ALL OTHER PLANS $38.57 ↑ +426%
HEALTHNET MEDICARE HEALTHNET MEDICARE $38.57 ↑ +426%
PRIME HEALTH - ALL PLANS PRIME HEALTH - ALL PLANS $38.57 ↑ +426%
PRISON HLTHCRE - ALL PLANS PRISON HLTHCRE - ALL PLANS $49.37 ↑ +574%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $50.14 ↑ +584%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $55.93 ↑ +663%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $69.43 ↑ +847%
INCENTIVE HLTH - ALL PLANS INCENTIVE HLTH - ALL PLANS $69.43 ↑ +847%
HEALTHNET HMO/PPO - ALL OTHER PLANS HEALTHNET HMO/PPO - ALL OTHER PLANS $102.79 ↑ +1302%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $200.20 ↑ +2631%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $222.45 ↑ +2935%
AETNA-ALL PLANS AETNA-ALL PLANS $237.19 ↑ +3136%

Visitor-reported prices

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Assay of leflunomide at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $89.04 $35.00 – $35.00
Antioch Medical Center ANTIOCH $89.04 $35.00 – $35.00
Redwood City Medical Center Redwood City $89.04 $35.00 – $35.00
Santa Clara Medical Center SANTA CLARA $89.04 $35.00 – $35.00
Fremont Medical Center FREMONT $89.04 $35.00 – $35.00
Sacramento Medical Center SACRAMENTO $89.04 $35.00 – $35.00
Oakland Medical Center Oakland $89.04 $35.00 – $35.00
Walnut Creek Medical Center WALNUT CREEK $89.04 $35.00 – $35.00

All California hospitals for this procedure →