Sinus CT scan (without contrast) at ADVENTIST HEALTH CLEARLAKE HOSPITAL
15630 18th Ave, Clearlake, CA · Adventisthealth · · NPI 1124018031
$1,763.28
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.
$4,898.00
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.
$208.72 with MEDI-CAL vs $6,380.55 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $208.72 | ↓ -88% |
| BC MANAGED MCAL | BC MANAGED MCAL | $208.72 | ↓ -88% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $700.45 | ↓ -60% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $778.27 | ↓ -56% |
| TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $812.07 | ↓ -54% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $812.07 | ↓ -54% |
| KAISER MCR ADV | KAISER MCR ADV | $812.07 | ↓ -54% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $844.55 | ↓ -52% |
| UHC MCR ADV | UHC MCR ADV | $893.28 | ↓ -49% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $934.46 | ↓ -47% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,624.14 | ↓ -8% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $1,747.04 | ↓ -1% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,829.84 | ↑ +4% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $2,889.42 | ↑ +64% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $2,900.25 | ↑ +64% |
| UHC JLL | UHC JLL | $3,063.82 | ↑ +74% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $3,093.60 | ↑ +75% |
| HEALTHNET- ALL PLANS | HEALTHNET- ALL PLANS | $3,170.94 | ↑ +80% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $3,225.08 | ↑ +83% |
| FOUNDATION- ALL PLANS | FOUNDATION- ALL PLANS | $3,286.95 | ↑ +86% |
| HEALTH MGMT NETWORK- ALL PLANS | HEALTH MGMT NETWORK- ALL PLANS | $3,286.95 | ↑ +86% |
| HUMANA- ALL PLANS | HUMANA- ALL PLANS | $3,286.95 | ↑ +86% |
| PHCS- ALL PLANS | PHCS- ALL PLANS | $3,286.95 | ↑ +86% |
| INTERPLAN- ALL PLANS | INTERPLAN- ALL PLANS | $3,480.30 | ↑ +97% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $3,480.30 | ↑ +97% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $3,480.30 | ↑ +97% |
| KAISER- ALL OTHER PLANS | KAISER- ALL OTHER PLANS | $3,480.30 | ↑ +97% |
| PARTNERSHIP MCAL - ALL PLANS | PARTNERSHIP MCAL - ALL PLANS | $6,380.55 | ↑ +262% |
Visitor-reported prices
Comments
Sinus CT scan (without contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $2,934.40 | $193.00 – $193.00 |
| St. John's Camarillo Hospital | Camarillo | $1,568.92 | $135.12 – $2,793.96 |
| Antioch Medical Center | ANTIOCH | $2,934.40 | $193.00 – $193.00 |
| Redwood City Medical Center | Redwood City | $2,934.40 | $193.00 – $193.00 |
| Santa Clara Medical Center | SANTA CLARA | $2,934.40 | $193.00 – $193.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $2,184.00 | $124.00 – $124.00 |
| Riverside Medical Center | RIVERSIDE | $2,184.00 | $124.00 – $124.00 |
| Fremont Medical Center | FREMONT | $2,934.40 | $193.00 – $193.00 |