Pr prolonged e&m service office outpatient each 15 minutes (g2212) at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$52.14
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.
$79.00
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 $110.20 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 | ↓ -60% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $27.47 | ↓ -47% |
| UHC MCR ADV | UHC MCR ADV | $27.47 | ↓ -47% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $28.73 | ↓ -45% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $30.22 | ↓ -42% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $38.00 | ↓ -27% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $40.02 | ↓ -23% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $43.13 | ↓ -17% |
| UHC JLL CSP | UHC JLL CSP | $43.13 | ↓ -17% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $48.32 | ↓ -7% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $49.40 | ↓ -5% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $53.20 | ↑ +2% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $53.20 | ↑ +2% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $58.10 | ↑ +11% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $68.40 | ↑ +31% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $68.40 | ↑ +31% |
| MEDI-CAL | MEDI-CAL | $76.00 | ↑ +46% |
| PARTNERSHIP HP MCAL-ALL PLANS | PARTNERSHIP HP MCAL-ALL PLANS | $110.20 | ↑ +111% |
Visitor-reported prices
Comments
Pr prolonged e&m service office outpatient each 15 minutes (g2212) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $54.57 | not published |
| Redwood Memorial Hospital | Fortuna | $47.94 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $15.01 | $27.47 – $152.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $14.44 | $27.47 – $127.68 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $11.40 | $27.64 – $107.16 |
| WILLITS HOSPITAL INC | Willits | $23.70 | $27.47 – $76.84 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $5.53 | $27.47 – $91.20 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $21.33 | $27.64 – $523.31 |