Ext ecg>48hr<7d rev&interpj at ADVENTIST HEALTH CLEARLAKE HOSPITAL
15630 18th Ave, Clearlake, CA · Adventisthealth · · NPI 1124018031
$30.24
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.
$84.00
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.
$21.06 with MEDI-CAL vs $254.52 with BLUE CROSS MCS - ALL OTHER 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 →
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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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $21.06 | ↓ -30% |
| BC MANAGED MCAL | BC MANAGED MCAL | $21.06 | ↓ -30% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $23.23 | ↓ -23% |
| KAISER MCR ADV | KAISER MCR ADV | $23.23 | ↓ -23% |
| UHC MCR ADV | UHC MCR ADV | $23.23 | ↓ -23% |
| HUMANA- ALL PLANS | HUMANA- ALL PLANS | $23.23 | ↓ -23% |
| TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $23.23 | ↓ -23% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $24.16 | ↓ -20% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $25.55 | ↓ -16% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $27.88 | ↓ -8% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $28.95 | ↓ -4% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $32.52 | ↑ +8% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $33.22 | ↑ +10% |
| UHC JLL | UHC JLL | $33.39 | ↑ +10% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $33.39 | ↑ +10% |
| HEALTHNET- ALL PLANS | HEALTHNET- ALL PLANS | $33.85 | ↑ +12% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $34.22 | ↑ +13% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $36.17 | ↑ +20% |
| PARTNERSHIP MCAL - ALL PLANS | PARTNERSHIP MCAL - ALL PLANS | $38.96 | ↑ +29% |
| PHCS- ALL PLANS | PHCS- ALL PLANS | $71.40 | ↑ +136% |
| HEALTH MGMT NETWORK- ALL PLANS | HEALTH MGMT NETWORK- ALL PLANS | $71.40 | ↑ +136% |
| FOUNDATION- ALL PLANS | FOUNDATION- ALL PLANS | $71.40 | ↑ +136% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $75.60 | ↑ +150% |
| INTERPLAN- ALL PLANS | INTERPLAN- ALL PLANS | $75.60 | ↑ +150% |
| KAISER- ALL OTHER PLANS | KAISER- ALL OTHER PLANS | $75.60 | ↑ +150% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $212.10 | ↑ +601% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $254.52 | ↑ +742% |
Visitor-reported prices
Comments
Ext ecg>48hr<7d rev&interpj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $403.92 | $57.90 – $101.61 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $10.64 | $8.40 – $278.76 |
| ST HELENA HOSPITAL | Vallejo | $9.30 | $21.06 – $251.50 |
| HANFORD COMMUNITY HOSPITAL | Selma | $10.64 | $21.06 – $266.44 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $8.40 | $21.06 – $253.96 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $36.96 | $21.06 – $40.77 |
| WILLITS HOSPITAL INC | Willits | $16.80 | $21.06 – $259.86 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville | $44.00 | $21.06 – $38.96 |