CT upper extremity without contrast (both sides) at ADVENTIST HEALTH CLEARLAKE HOSPITAL

15630 18th Ave, Clearlake, CA · Adventisthealth · · NPI 1124018031

Source: hospital's published price file ↗ · Published Jul 29, 2026 · Ingested Sep 16, 2026

$1,856.16

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.

$5,156.00

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.

$232.06 with MEDI-CAL vs $5,671.05 with PARTNERSHIP MCAL - 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
MEDI-CAL MEDI-CAL $232.06 ↓ -87%
BC MANAGED MCAL BC MANAGED MCAL $232.06 ↓ -87%
TRICARE BLUE SHIELD- ALL PLANS TRICARE BLUE SHIELD- ALL PLANS $721.77 ↓ -61%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $721.77 ↓ -61%
KAISER MCR ADV KAISER MCR ADV $721.77 ↓ -61%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $734.89 ↓ -60%
BLUE CROSS MCR ADV BLUE CROSS MCR ADV $750.64 ↓ -60%
UHC MCR ADV UHC MCR ADV $793.95 ↓ -57%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $816.54 ↓ -56%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $980.41 ↓ -47%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,443.54 ↓ -22%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $1,828.73 ↓ -1%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $1,915.40 ↑ +3%
AETNA- ALL PLANS AETNA- ALL PLANS $2,568.13 ↑ +38%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $2,577.75 ↑ +39%
UHC JLL UHC JLL $2,723.14 ↑ +47%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $2,749.60 ↑ +48%
HEALTHNET- ALL PLANS HEALTHNET- ALL PLANS $2,818.34 ↑ +52%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $2,866.46 ↑ +54%
FOUNDATION- ALL PLANS FOUNDATION- ALL PLANS $2,921.45 ↑ +57%
HEALTH MGMT NETWORK- ALL PLANS HEALTH MGMT NETWORK- ALL PLANS $2,921.45 ↑ +57%
HUMANA- ALL PLANS HUMANA- ALL PLANS $2,921.45 ↑ +57%
PHCS- ALL PLANS PHCS- ALL PLANS $2,921.45 ↑ +57%
INTERPLAN- ALL PLANS INTERPLAN- ALL PLANS $3,093.30 ↑ +67%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $3,093.30 ↑ +67%
CIGNA- ALL PLANS CIGNA- ALL PLANS $3,093.30 ↑ +67%
KAISER- ALL OTHER PLANS KAISER- ALL OTHER PLANS $3,093.30 ↑ +67%
PARTNERSHIP MCAL - ALL PLANS PARTNERSHIP MCAL - ALL PLANS $5,671.05 ↑ +206%

Visitor-reported prices

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CT upper extremity without contrast (both sides) at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $2,514.40 $236.00 – $236.00
St. John's Camarillo Hospital Camarillo $1,314.44 $135.12 – $2,340.78
Antioch Medical Center ANTIOCH $2,514.40 $236.00 – $236.00
Redwood City Medical Center Redwood City $2,514.40 $236.00 – $236.00
Santa Clara Medical Center SANTA CLARA $2,514.40 $236.00 – $236.00
Baldwin Park Medical Center BALDWIN PARK $2,184.00 $155.00 – $155.00
Riverside Medical Center RIVERSIDE $2,184.00 $155.00 – $155.00
Fremont Medical Center FREMONT $2,514.40 $236.00 – $236.00

All California hospitals for this procedure →