Established Patient Office Visit (level 4) at RIDEOUT MEMORIAL HOSPITAL
726 4th St, Marysville, CA · Adventisthealth · · NPI 1720088354
$95.04
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.
$432.00
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.
$29.60 with HEALTHNET MCAL vs $375.24 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 | $29.60 | ↓ -69% |
| MEDI-CAL | MEDI-CAL | $53.79 | ↓ -43% |
| KAISER MCAL | KAISER MCAL | $53.79 | ↓ -43% |
| BC MCAL | BC MCAL | $63.37 | ↓ -33% |
| BEACON HEALTH OP/PROFEE ONLY-ALL PLANS | BEACON HEALTH OP/PROFEE ONLY-ALL PLANS | $64.13 | ↓ -33% |
| CA HEALTH AND WELLNESS- ALL PLANS | CA HEALTH AND WELLNESS- ALL PLANS | $66.70 | ↓ -30% |
| CELTIC MCAID-ALL PLANS | CELTIC MCAID-ALL PLANS | $66.70 | ↓ -30% |
| KAISER MCR ADV | KAISER MCR ADV | $84.93 | ↓ -11% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $84.93 | ↓ -11% |
| UHC MCR ADV | UHC MCR ADV | $84.93 | ↓ -11% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $85.78 | ↓ -10% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $104.64 | ↑ +10% |
| HEALTHNET COMM-ALL OTHER PLANS | HEALTHNET COMM-ALL OTHER PLANS | $107.74 | ↑ +13% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $112.48 | ↑ +18% |
| BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $113.96 | ↑ +20% |
| BLUE SHIELD UC CARE MEMBERS | BLUE SHIELD UC CARE MEMBERS | $118.40 | ↑ +25% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $126.14 | ↑ +33% |
| FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $129.50 | ↑ +36% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $130.24 | ↑ +37% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $133.20 | ↑ +40% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $140.60 | ↑ +48% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $140.60 | ↑ +48% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $152.87 | ↑ +61% |
| PARTNERSHIP HP MCAL -ALL PLANS | PARTNERSHIP HP MCAL -ALL PLANS | $244.20 | ↑ +157% |
| UHC JLL | UHC JLL | $349.27 | ↑ +267% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $375.24 | ↑ +295% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,281.82 | $61.88 – $475.30 |
| Arroyo Grande Hospital | Santa Maria | $1,129.07 | $53.79 – $381.00 |
| Mark Twain Medical Center | San Andreas | $212.46 | $55.63 – $210.70 |
| French Hospital | San Luis Obispo | $784.40 | $53.79 – $373.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $66.81 – $303.20 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $66.81 – $314.82 |
| St. Joseph's Behavioral Health Center | Stockton | $69.67 | $12.20 – $105.53 |