Pr e&m preventive medicine initial comprehensive new patient 12-17 years at ADVENTIST HEALTH CLEARLAKE HOSPITAL
15630 18th Ave, Clearlake, CA · Adventisthealth · · NPI 1124018031
$127.44
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.
$354.00
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.
$37.17 with KAISER MCR ADV vs $292.05 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 →
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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 |
|---|---|---|---|
| KAISER MCR ADV | KAISER MCR ADV | $37.17 | ↓ -71% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $37.17 | ↓ -71% |
| TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $37.17 | ↓ -71% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $38.66 | ↓ -70% |
| UHC MCR ADV | UHC MCR ADV | $40.89 | ↓ -68% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $74.34 | ↓ -42% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $108.06 | ↓ -15% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $120.06 | ↓ -6% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $120.06 | ↓ -6% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $132.25 | ↑ +4% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $132.75 | ↑ +4% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $135.94 | ↑ +7% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $135.94 | ↑ +7% |
| UHC JLL | UHC JLL | $140.24 | ↑ +10% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $141.60 | ↑ +11% |
| HEALTHNET- ALL PLANS | HEALTHNET- ALL PLANS | $145.14 | ↑ +14% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $147.62 | ↑ +16% |
| HUMANA- ALL PLANS | HUMANA- ALL PLANS | $150.45 | ↑ +18% |
| FOUNDATION- ALL PLANS | FOUNDATION- ALL PLANS | $150.45 | ↑ +18% |
| HEALTH MGMT NETWORK- ALL PLANS | HEALTH MGMT NETWORK- ALL PLANS | $150.45 | ↑ +18% |
| PHCS- ALL PLANS | PHCS- ALL PLANS | $150.45 | ↑ +18% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $159.30 | ↑ +25% |
| INTERPLAN- ALL PLANS | INTERPLAN- ALL PLANS | $159.30 | ↑ +25% |
| KAISER- ALL OTHER PLANS | KAISER- ALL OTHER PLANS | $159.30 | ↑ +25% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $159.30 | ↑ +25% |
| MEDI-CAL | MEDI-CAL | $177.00 | ↑ +39% |
| BC MANAGED MCAL | BC MANAGED MCAL | $177.00 | ↑ +39% |
| PARTNERSHIP MCAL - ALL PLANS | PARTNERSHIP MCAL - ALL PLANS | $292.05 | ↑ +129% |
Visitor-reported prices
Comments
Pr e&m preventive medicine initial comprehensive new patient 12-17 years at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $151.85 | $58.99 – $223.44 |
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $134.93 | $94.35 – $259.38 |
| St. Mary Medical Center | Long Beach | $169.85 | $51.75 – $471.75 |
| Glendale Memorial Hospital Health Center | Glendale | $70.75 | $54.25 – $399.10 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $58.71 | $2.93 – $675.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $42.18 | $105.01 – $372.96 |