After cataract laser surgery at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$724.68
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.
$1,098.00
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.
$35.00 with MEDI-CAL vs $1,098.00 with GREAT WEST PPO - 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 | $35.00 | ↓ -95% |
| PARTNERSHIP HP MCAL-ALL PLANS | PARTNERSHIP HP MCAL-ALL PLANS | $50.75 | ↓ -93% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $288.18 | ↓ -60% |
| UHC MCR ADV | UHC MCR ADV | $288.18 | ↓ -60% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $288.18 | ↓ -60% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $317.00 | ↓ -56% |
| BLUE CROSS - ALL OTHER PLANS | BLUE CROSS - ALL OTHER PLANS | $322.38 | ↓ -56% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $385.66 | ↓ -47% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $407.55 | ↓ -44% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $408.63 | ↓ -44% |
| UHC JLL CSP | UHC JLL CSP | $408.63 | ↓ -44% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $419.88 | ↓ -42% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $1,098.00 | ↑ +52% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $1,098.00 | ↑ +52% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $1,098.00 | ↑ +52% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1,098.00 | ↑ +52% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $1,098.00 | ↑ +52% |
Visitor-reported prices
Comments
After cataract laser surgery at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $2,704.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $2,704.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,570.40 | not published |
| Riverside Medical Center | RIVERSIDE | $1,570.40 | not published |
| Sacramento Medical Center | SACRAMENTO | $2,704.80 | not published |
| Oakland Medical Center | Oakland | $2,704.80 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $2,704.80 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $208.62 | $8.81 – $1,167.19 |