Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at RIDEOUT MEMORIAL HOSPITAL
726 4th St, Marysville, CA · Adventisthealth · · NPI 1720088354
$1,043.24
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.
$4,742.00
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.
$120.63 with BC MCAL vs $4,605.15 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 |
|---|---|---|---|
| BC MCAL | BC MCAL | $120.63 | ↓ -88% |
| MEDI-CAL | MEDI-CAL | $160.21 | ↓ -85% |
| KAISER MCAL | KAISER MCAL | $160.21 | ↓ -85% |
| CA HEALTH AND WELLNESS- ALL PLANS | CA HEALTH AND WELLNESS- ALL PLANS | $198.66 | ↓ -81% |
| CELTIC MCAID-ALL PLANS | CELTIC MCAID-ALL PLANS | $198.66 | ↓ -81% |
| HEALTHNET MCAL | HEALTHNET MCAL | $558.20 | ↓ -46% |
| KAISER MCR ADV | KAISER MCR ADV | $913.86 | ↓ -12% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $913.86 | ↓ -12% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $923.00 | ↓ -12% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,644.94 | ↑ +58% |
| HEALTHNET COMM-ALL OTHER PLANS | HEALTHNET COMM-ALL OTHER PLANS | $1,794.61 | ↑ +72% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,973.24 | ↑ +89% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $2,121.16 | ↑ +103% |
| BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $2,149.07 | ↑ +106% |
| BLUE SHIELD UC CARE MEMBERS | BLUE SHIELD UC CARE MEMBERS | $2,232.80 | ↑ +114% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $2,378.77 | ↑ +128% |
| FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $2,442.13 | ↑ +134% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $2,456.08 | ↑ +135% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $2,511.90 | ↑ +141% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $2,651.45 | ↑ +154% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $2,651.45 | ↑ +154% |
| PARTNERSHIP HP MCAL -ALL PLANS | PARTNERSHIP HP MCAL -ALL PLANS | $4,605.15 | ↑ +341% |
Visitor-reported prices
Comments
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $2,167.20 | not published |
| St. John's Camarillo Hospital | Camarillo | $969.30 | $168.98 – $1,726.14 |
| Antioch Medical Center | ANTIOCH | $2,167.20 | not published |
| Redwood City Medical Center | Redwood City | $2,167.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $2,167.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,773.20 | not published |
| Riverside Medical Center | RIVERSIDE | $1,773.20 | not published |
| Fremont Medical Center | FREMONT | $2,167.20 | not published |