Established Patient Office Visit (level 3) at RIDEOUT MEMORIAL HOSPITAL
726 4th St, Marysville, CA · Adventisthealth · · NPI 1720088354
$82.06
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.
$373.00
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.
$23.20 with HEALTHNET MCAL vs $323.99 with UHC ALL PAYER-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 |
|---|---|---|---|
| HEALTHNET MCAL | HEALTHNET MCAL | $23.20 | ↓ -72% |
| MEDI-CAL | MEDI-CAL | $34.43 | ↓ -58% |
| KAISER MCAL | KAISER MCAL | $34.43 | ↓ -58% |
| BC MCAL | BC MCAL | $40.55 | ↓ -51% |
| CA HEALTH AND WELLNESS- ALL PLANS | CA HEALTH AND WELLNESS- ALL PLANS | $42.69 | ↓ -48% |
| CELTIC MCAID-ALL PLANS | CELTIC MCAID-ALL PLANS | $42.69 | ↓ -48% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $57.85 | ↓ -30% |
| KAISER MCR ADV | KAISER MCR ADV | $57.85 | ↓ -30% |
| UHC MCR ADV | UHC MCR ADV | $57.85 | ↓ -30% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $58.43 | ↓ -29% |
| BEACON HEALTH OP/PROFEE ONLY-ALL PLANS | BEACON HEALTH OP/PROFEE ONLY-ALL PLANS | $67.38 | ↓ -18% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $82.01 | ↓ -0% |
| HEALTHNET COMM-ALL OTHER PLANS | HEALTHNET COMM-ALL OTHER PLANS | $84.45 | ↑ +3% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $88.16 | ↑ +7% |
| BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $89.32 | ↑ +9% |
| BLUE SHIELD UC CARE MEMBERS | BLUE SHIELD UC CARE MEMBERS | $92.80 | ↑ +13% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $98.87 | ↑ +20% |
| FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $101.50 | ↑ +24% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $102.08 | ↑ +24% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $104.13 | ↑ +27% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $104.40 | ↑ +27% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $110.20 | ↑ +34% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $110.20 | ↑ +34% |
| PARTNERSHIP HP MCAL -ALL PLANS | PARTNERSHIP HP MCAL -ALL PLANS | $191.40 | ↑ +133% |
| UHC JLL | UHC JLL | $301.57 | ↑ +267% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $323.99 | ↑ +295% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $642.42 | $59.21 – $226.00 |
| Banner Lassen Medical Center | Susanville | $1,479.42 | $39.60 – $354.05 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $34.43 – $351.00 |
| Mark Twain Medical Center | San Andreas | $138.53 | $36.22 – $137.20 |
| French Hospital | San Luis Obispo | $149.36 | $34.43 – $343.98 |
| Bakersfield Memorial Hospital | Bakersfield | $107.54 | $42.76 – $232.00 |
| Healdsburg Hospital | Healdsburg | $302.43 | not published |
| Redwood Memorial Hospital | Fortuna | $161.16 | not published |