Prev med cnsl indiv apprx 45 at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$152.46
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.
$231.00
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.
$87.32 with BLUE SHIELD EPN vs $693.00 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 SHIELD EPN | BLUE SHIELD EPN | $87.32 | ↓ -43% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $120.12 | ↓ -21% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $150.15 | ↓ -2% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $150.38 | ↓ -1% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $161.70 | ↑ +6% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $161.70 | ↑ +6% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $176.60 | ↑ +16% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $177.41 | ↑ +16% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $180.18 | ↑ +18% |
| BLUE CROSS - ALL OTHER PLANS | BLUE CROSS - ALL OTHER PLANS | $196.21 | ↑ +29% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $207.90 | ↑ +36% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $207.90 | ↑ +36% |
| MEDI-CAL | MEDI-CAL | $231.00 | ↑ +52% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $278.92 | ↑ +83% |
| PARTNERSHIP HP MCAL-ALL PLANS | PARTNERSHIP HP MCAL-ALL PLANS | $693.00 | ↑ +355% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 45 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sequoia Hospital | Redwood City | $21.48 | $25.37 – $236.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $43.89 | $51.68 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $43.05 | $287.00 – $287.00 |
| WILLITS HOSPITAL INC | Willits | $69.30 | $231.00 – $407.41 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $16.17 | $52.84 – $330.10 |
| SONORA COMMUNITY HOSPITAL | Sonora | $39.27 | $152.00 – $343.96 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $62.37 | $231.00 – $684.56 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $46.20 | $231.00 – $504.83 |