Analysis; simple cranial nerv pulse gen prgrmg 95976 at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$70.62
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.
$107.00
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.
$40.45 with BLUE SHIELD EPN vs $278.92 with TRICARE BLUE SHIELD — 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 SHIELD EPN | BLUE SHIELD EPN | $40.45 | ↓ -43% |
| MEDI-CAL | MEDI-CAL | $50.23 | ↓ -29% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $52.82 | ↓ -25% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $55.64 | ↓ -21% |
| BLUE CROSS - ALL OTHER PLANS | BLUE CROSS - ALL OTHER PLANS | $58.69 | ↓ -17% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $69.55 | ↓ -2% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $69.66 | ↓ -1% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $74.90 | ↑ +6% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $74.90 | ↑ +6% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $82.18 | ↑ +16% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $83.46 | ↑ +18% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $96.30 | ↑ +36% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $96.30 | ↑ +36% |
| PARTNERSHIP HP MCAL-ALL PLANS | PARTNERSHIP HP MCAL-ALL PLANS | $107.00 | ↑ +52% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $278.92 | ↑ +295% |
Visitor-reported prices
Comments
Analysis; simple cranial nerv pulse gen prgrmg 95976 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $431.20 | not published |
| St. John's Camarillo Hospital | Camarillo | $129.65 | $47.38 – $230.88 |
| Antioch Medical Center | ANTIOCH | $431.20 | not published |
| Redwood City Medical Center | Redwood City | $431.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $431.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $352.04 | not published |
| Riverside Medical Center | RIVERSIDE | $352.04 | not published |
| Fremont Medical Center | FREMONT | $431.20 | not published |