Aspirate/inj ganglion cyst 20612 at St. Elizabeth Community Hospital
2550 Sister Mary Columba Dr, Red Bluff, CA · CommonSpirit Health · · NPI 1083732853
$537.28
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.
$920.00
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.
$77.73 with BCBS - Anthem vs $901.60 with Health Net — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $77.73 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $135.73 | ↓ -75% |
| Partnership Health Plan | Medicaid|All Plans | $233.75 | ↓ -56% |
| Humana | Medicare|All Plans | $375.07 | ↓ -30% |
| Aetna | Medicare|All Plans | $375.07 | ↓ -30% |
| United | Medicare|All Plans | $375.07 | ↓ -30% |
| Health Net | Medicare|All Plans | $375.07 | ↓ -30% |
| Kaiser | Medicare|All Plans | $375.07 | ↓ -30% |
| BCBS - Anthem | Medicare|All Plans | $375.07 | ↓ -30% |
| Blue Shield CA | Medicare|All Plans | $375.07 | ↓ -30% |
| BCBS - Anthem | Commercial|Exchange | $460.00 | ↓ -14% |
| Blue Shield CA | Commercial|Exchange | $515.20 | ↓ -4% |
| BCBS - Anthem | Commercial|All Other Plans | $570.40 | ↑ +6% |
| Aetna | Commercial|HMO | $644.00 | ↑ +20% |
| Aetna | Commercial|PPO | $644.00 | ↑ +20% |
| Aetna | Commercial|All Other Plans | $644.00 | ↑ +20% |
| Blue Shield CA | Commercial|All Other Plans | $671.60 | ↑ +25% |
| Cigna | Commercial|PPO | $671.60 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $671.60 | ↑ +25% |
| United | Commercial|All Other Plans | $828.00 | ↑ +54% |
| United | Commercial|HMO | $855.60 | ↑ +59% |
| Coventry | Commercial|All Plans | $901.60 | ↑ +68% |
| MultiPlan | Commercial|All Plans | $901.60 | ↑ +68% |
| Health Net | Commercial|All Plans | $901.60 | ↑ +68% |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $491.88 | $76.73 – $875.94 |
| Petaluma Valley Hospital | Petaluma | $550.80 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $480.22 | $62.38 – $1,099.56 |
| Mark Twain Medical Center | San Andreas | $68.60 | $21.99 – $83.30 |
| French Hospital | San Luis Obispo | $356.33 | $62.38 – $890.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $142.84 | $62.38 – $375.07 |
| Bakersfield Memorial Hospital | Bakersfield | $335.81 | $62.38 – $375.07 |
| Queen of The Valley Medical Center | Napa | $612.51 | $435.83 – $6,200.00 |