X-ray sinus tract/fistula/abscess at RIDEOUT MEMORIAL HOSPITAL
726 4th St, Marysville, CA · Adventisthealth · · NPI 1720088354
$581.90
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.
$2,645.00
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.
$25.90 with BC MCAL vs $4,364.25 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 | $25.90 | ↓ -96% |
| MEDI-CAL | MEDI-CAL | $59.94 | ↓ -90% |
| KAISER MCAL | KAISER MCAL | $59.94 | ↓ -90% |
| CA HEALTH AND WELLNESS- ALL PLANS | CA HEALTH AND WELLNESS- ALL PLANS | $74.33 | ↓ -87% |
| CELTIC MCAID-ALL PLANS | CELTIC MCAID-ALL PLANS | $74.33 | ↓ -87% |
| HEALTHNET MCAL | HEALTHNET MCAL | $529.00 | ↓ -9% |
| UHC MCR ADV | UHC MCR ADV | $705.16 | ↑ +21% |
| KAISER MCR ADV | KAISER MCR ADV | $705.16 | ↑ +21% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $705.16 | ↑ +21% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $712.21 | ↑ +22% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,269.29 | ↑ +118% |
| HEALTHNET COMM-ALL OTHER PLANS | HEALTHNET COMM-ALL OTHER PLANS | $1,700.74 | ↑ +192% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,870.02 | ↑ +221% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $2,010.20 | ↑ +245% |
| BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $2,036.65 | ↑ +250% |
| BLUE SHIELD UC CARE MEMBERS | BLUE SHIELD UC CARE MEMBERS | $2,116.00 | ↑ +264% |
| UHC JLL | UHC JLL | $2,138.48 | ↑ +267% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $2,254.33 | ↑ +287% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $2,297.45 | ↑ +295% |
| FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $2,314.38 | ↑ +298% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $2,327.60 | ↑ +300% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $2,380.50 | ↑ +309% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $2,512.75 | ↑ +332% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $2,512.75 | ↑ +332% |
| PARTNERSHIP HP MCAL -ALL PLANS | PARTNERSHIP HP MCAL -ALL PLANS | $4,364.25 | ↑ +650% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $1,383.20 | $731.00 – $731.00 |
| St. John's Camarillo Hospital | Camarillo | $413.91 | $90.69 – $2,339.15 |
| Antioch Medical Center | ANTIOCH | $1,383.20 | $731.00 – $731.00 |
| Redwood City Medical Center | Redwood City | $1,383.20 | $731.00 – $731.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,383.20 | $731.00 – $731.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $1,435.20 | $498.00 – $498.00 |
| Riverside Medical Center | RIVERSIDE | $1,435.20 | $498.00 – $498.00 |
| Fremont Medical Center | FREMONT | $1,383.20 | $731.00 – $731.00 |