Aco annual medicare visit (awv), subsq g0439aco at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$216.48
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.
$328.00
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.
$112.04 with BLUE CROSS - ALL OTHER PLANS vs $475.60 with PARTNERSHIP HP 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 |
|---|---|---|---|
| BLUE CROSS - ALL OTHER PLANS | BLUE CROSS - ALL OTHER PLANS | $112.04 | ↓ -48% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $123.98 | ↓ -43% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $143.32 | ↓ -34% |
| UHC MCR ADV | UHC MCR ADV | $143.32 | ↓ -34% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $150.74 | ↓ -30% |
| UHC JLL CSP | UHC JLL CSP | $150.74 | ↓ -30% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $157.65 | ↓ -27% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $164.00 | ↓ -24% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $169.28 | ↓ -22% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $208.82 | ↓ -4% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $213.20 | ↓ -2% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $229.60 | ↑ +6% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $229.60 | ↑ +6% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $250.76 | ↑ +16% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $295.20 | ↑ +36% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $295.20 | ↑ +36% |
| MEDI-CAL | MEDI-CAL | $328.00 | ↑ +52% |
| PARTNERSHIP HP MCAL-ALL PLANS | PARTNERSHIP HP MCAL-ALL PLANS | $475.60 | ↑ +120% |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), subsq g0439aco at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $206.08 | not published |
| Santa Clara Medical Center | SANTA CLARA | $206.08 | not published |
| Sacramento Medical Center | SACRAMENTO | $206.08 | not published |
| Oakland Medical Center | Oakland | $206.08 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $206.08 | not published |
| Mark Twain Medical Center | San Andreas | $195.81 | $52.52 – $198.94 |
| Healdsburg Hospital | Healdsburg | $192.78 | not published |
| Redwood Memorial Hospital | Fortuna | $214.20 | not published |