Revise/replace knee joint at ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
$3,183.18
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.
$4,823.00
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.
$772.00 with BEECH STREET - ALL PLANS vs $2,178.21 with BLUE SHIELD - ALL OTHER 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 |
|---|---|---|---|
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $772.00 | ↓ -76% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $772.00 | ↓ -76% |
| AHCC - ALL PLANS | AHCC - ALL PLANS | $772.00 | ↓ -76% |
| GREAT WEST HMO/POS/EPO/OA | GREAT WEST HMO/POS/EPO/OA | $772.00 | ↓ -76% |
| GREAT WEST PPO - ALL OTHER PLANS | GREAT WEST PPO - ALL OTHER PLANS | $772.00 | ↓ -76% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1,261.61 | ↓ -60% |
| UHC MCR ADV | UHC MCR ADV | $1,261.61 | ↓ -60% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,261.61 | ↓ -60% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,387.77 | ↓ -56% |
| BLUE CROSS - ALL OTHER PLANS | BLUE CROSS - ALL OTHER PLANS | $1,397.94 | ↓ -56% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $1,838.17 | ↓ -42% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,886.84 | ↓ -41% |
| UHC JLL CSP | UHC JLL CSP | $1,886.84 | ↓ -41% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $2,061.17 | ↓ -35% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $2,178.21 | ↓ -32% |
Visitor-reported prices
Comments
Revise/replace knee joint at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $2,442.89 | $948.92 – $3,594.64 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $916.37 | $40.68 – $2,816.63 |
| ST HELENA HOSPITAL | Vallejo | $799.65 | $1,387.28 – $3,216.18 |
| HANFORD COMMUNITY HOSPITAL | Selma | $916.37 | $1,261.61 – $16,512.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $723.45 | $85.00 – $16,512.70 |
| WILLITS HOSPITAL INC | Willits | $1,446.90 | $85.00 – $2,923.34 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $337.61 | $61.00 – $2,816.63 |
| SONORA COMMUNITY HOSPITAL | Sonora | $819.91 | $55.00 – $2,923.34 |