Duodenal exclusion at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$3,917.10
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.
$5,935.00
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.
$45.00 with MEDI-CAL vs $5,935.00 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 | $45.00 | ↓ -99% |
| PARTNERSHIP HP MCAL-ALL PLANS | PARTNERSHIP HP MCAL-ALL PLANS | $65.25 | ↓ -98% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1,598.39 | ↓ -59% |
| UHC MCR ADV | UHC MCR ADV | $1,598.39 | ↓ -59% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,598.39 | ↓ -59% |
| BLUE CROSS - ALL OTHER PLANS | BLUE CROSS - ALL OTHER PLANS | $1,714.66 | ↓ -56% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,758.23 | ↓ -55% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $2,259.56 | ↓ -42% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $2,328.85 | ↓ -41% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $2,387.85 | ↓ -39% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,428.60 | ↓ -38% |
| UHC JLL CSP | UHC JLL CSP | $2,428.60 | ↓ -38% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $5,935.00 | ↑ +52% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $5,935.00 | ↑ +52% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $5,935.00 | ↑ +52% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $5,935.00 | ↑ +52% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $5,935.00 | ↑ +52% |
Visitor-reported prices
Comments
Duodenal exclusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,127.65 | $52.36 – $3,065.57 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,127.65 | $212.21 – $3,065.57 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $890.25 | $1,059.94 – $3,195.52 |
| WILLITS HOSPITAL INC | Willits | $1,780.50 | $75.00 – $3,080.96 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $415.45 | $75.00 – $3,065.57 |
| SONORA COMMUNITY HOSPITAL | Sonora | $1,008.95 | $75.00 – $3,080.96 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,602.45 | $45.00 – $3,195.52 |
| ADVENTIST HEALTH TULARE | Tulare | $1,127.65 | $75.00 – $2,662.67 |