Annual Physical, Established Patient (age 40-64) at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$171.60
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.
$260.00
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.
$20.67 with BLUE CROSS - ALL OTHER PLANS vs $377.00 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 | $20.67 | ↓ -88% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $97.15 | ↓ -43% |
| UHC JLL CSP | UHC JLL CSP | $128.95 | ↓ -25% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $128.95 | ↓ -25% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $130.00 | ↓ -24% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $133.64 | ↓ -22% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $167.05 | ↓ -3% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $167.31 | ↓ -3% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $179.90 | ↑ +5% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $179.90 | ↑ +5% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $187.24 | ↑ +9% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $196.48 | ↑ +14% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $231.30 | ↑ +35% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $231.30 | ↑ +35% |
| MEDI-CAL | MEDI-CAL | $257.00 | ↑ +50% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $278.92 | ↑ +63% |
| PARTNERSHIP HP MCAL-ALL PLANS | PARTNERSHIP HP MCAL-ALL PLANS | $377.00 | ↑ +120% |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 40-64) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $137.19 | not published |
| Mercy Medical Center Merced | Merced | $217.85 | $109.90 – $418.77 |
| St. Mary Medical Center | Long Beach | $144.91 | $84.25 – $549.50 |
| Glendale Memorial Hospital Health Center | Glendale | $78.24 | $60.00 – $464.88 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $49.40 | $2.78 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $44.85 | $119.37 – $209.45 |
| HANFORD COMMUNITY HOSPITAL | Selma | $49.40 | $105.01 – $436.80 |