Breast reconstruction tram flap 19367 at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$4,014.12
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.
$6,082.00
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.
$210.72 with MEDI-CAL vs $6,082.00 with BEECH STREET - 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 | $210.72 | ↓ -95% |
| PARTNERSHIP HP MCAL-ALL PLANS | PARTNERSHIP HP MCAL-ALL PLANS | $305.54 | ↓ -92% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1,549.17 | ↓ -61% |
| UHC MCR ADV | UHC MCR ADV | $1,549.17 | ↓ -61% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,549.17 | ↓ -61% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,704.09 | ↓ -58% |
| BLUE CROSS - ALL OTHER PLANS | BLUE CROSS - ALL OTHER PLANS | $1,806.71 | ↓ -55% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $2,257.14 | ↓ -44% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,388.70 | ↓ -40% |
| UHC JLL CSP | UHC JLL CSP | $2,388.70 | ↓ -40% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $2,431.76 | ↓ -39% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $2,569.83 | ↓ -36% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $6,082.00 | ↑ +52% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $6,082.00 | ↑ +52% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $6,082.00 | ↑ +52% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $6,082.00 | ↑ +52% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $6,082.00 | ↑ +52% |
Visitor-reported prices
Comments
Breast reconstruction tram flap 19367 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,155.58 | $51.50 – $3,738.10 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,155.58 | $1,054.35 – $3,738.10 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $912.30 | $1,054.35 – $4,214.90 |
| WILLITS HOSPITAL INC | Willits | $1,824.60 | $1,054.35 – $3,749.54 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $425.74 | $95.00 – $3,738.10 |
| SONORA COMMUNITY HOSPITAL | Sonora | $1,033.94 | $1,054.35 – $3,749.54 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,642.14 | $210.72 – $4,214.90 |
| ADVENTIST HEALTH TULARE | Tulare | $1,155.58 | $95.00 – $3,240.39 |