Nm imaging pulmonary ventilation/perfusion at RIDEOUT MEMORIAL HOSPITAL
726 4th St, Marysville, CA · Adventisthealth · · NPI 1720088354
$1,512.28
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.
$6,874.00
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.
$43.99 with BC MCAL vs $9,914.85 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 | $43.99 | ↓ -97% |
| MEDI-CAL | MEDI-CAL | $417.30 | ↓ -72% |
| KAISER MCAL | KAISER MCAL | $417.30 | ↓ -72% |
| CA HEALTH AND WELLNESS- ALL PLANS | CA HEALTH AND WELLNESS- ALL PLANS | $517.45 | ↓ -66% |
| CELTIC MCAID-ALL PLANS | CELTIC MCAID-ALL PLANS | $517.45 | ↓ -66% |
| KAISER MCR ADV | KAISER MCR ADV | $700.71 | ↓ -54% |
| UHC MCR ADV | UHC MCR ADV | $700.71 | ↓ -54% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $700.71 | ↓ -54% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $707.72 | ↓ -53% |
| HEALTHNET MCAL | HEALTHNET MCAL | $1,201.80 | ↓ -21% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,261.28 | ↓ -17% |
| BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $1,657.00 | ↑ +10% |
| HEALTHNET COMM-ALL OTHER PLANS | HEALTHNET COMM-ALL OTHER PLANS | $3,863.79 | ↑ +155% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $4,248.36 | ↑ +181% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $4,566.84 | ↑ +202% |
| BLUE SHIELD UC CARE MEMBERS | BLUE SHIELD UC CARE MEMBERS | $4,807.20 | ↑ +218% |
| UHC JLL | UHC JLL | $4,858.28 | ↑ +221% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5,121.47 | ↑ +239% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $5,219.42 | ↑ +245% |
| FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $5,257.88 | ↑ +248% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $5,287.92 | ↑ +250% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $5,408.10 | ↑ +258% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $5,708.55 | ↑ +277% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $5,708.55 | ↑ +277% |
| PARTNERSHIP HP MCAL -ALL PLANS | PARTNERSHIP HP MCAL -ALL PLANS | $9,914.85 | ↑ +556% |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $2,749.60 | $719.00 – $719.00 |
| St. John's Camarillo Hospital | Camarillo | $1,607.46 | $440.14 – $2,862.60 |
| Antioch Medical Center | ANTIOCH | $2,749.60 | $719.00 – $719.00 |
| Redwood City Medical Center | Redwood City | $2,749.60 | $719.00 – $719.00 |
| Santa Clara Medical Center | SANTA CLARA | $2,749.60 | $719.00 – $719.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $2,199.60 | $489.00 – $489.00 |
| Riverside Medical Center | RIVERSIDE | $2,199.60 | $489.00 – $489.00 |
| Fremont Medical Center | FREMONT | $2,749.60 | $719.00 – $719.00 |