1st inpatient critical care pr day age 28 days/less than 99468 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$367.03
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.
$2,159.00
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.
$152.00 with AETNA MCR ADV vs $2,051.05 with STANILAUS FOUNDATION - 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 |
|---|---|---|---|
| AETNA MCR ADV | AETNA MCR ADV | $152.00 | ↓ -59% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $152.00 | ↓ -59% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $152.00 | ↓ -59% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↓ -59% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↓ -59% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $152.00 | ↓ -59% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $273.60 | ↓ -25% |
| MEDI-CAL | MEDI-CAL | $299.00 | ↓ -19% |
| HEALTHNET MCAL | HEALTHNET MCAL | $299.00 | ↓ -19% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $299.00 | ↓ -19% |
| BC MCAL | BC MCAL | $299.00 | ↓ -19% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $299.00 | ↓ -19% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $448.50 | ↑ +22% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $448.50 | ↑ +22% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $485.93 | ↑ +32% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $783.29 | ↑ +113% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $963.45 | ↑ +162% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $1,018.28 | ↑ +177% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $1,018.28 | ↑ +177% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $1,079.50 | ↑ +194% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $1,088.77 | ↑ +197% |
| UHC SELECT | UHC SELECT | $1,109.29 | ↑ +202% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $1,141.25 | ↑ +211% |
| UHC JLL BP | UHC JLL BP | $1,197.60 | ↑ +226% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $1,260.64 | ↑ +243% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $1,275.46 | ↑ +248% |
| BC EXCHANGE | BC EXCHANGE | $1,294.32 | ↑ +253% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $1,347.88 | ↑ +267% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $1,392.28 | ↑ +279% |
| BC MCS | BC MCS | $1,438.11 | ↑ +292% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $1,438.11 | ↑ +292% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $1,727.20 | ↑ +371% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,835.15 | ↑ +400% |
| UHC PPO | UHC PPO | $1,856.31 | ↑ +406% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $1,943.10 | ↑ +429% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1,943.10 | ↑ +429% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $1,943.10 | ↑ +429% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $1,943.10 | ↑ +429% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $2,051.05 | ↑ +459% |
Visitor-reported prices
Comments
1st inpatient critical care pr day age 28 days/less than 99468 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $410.21 | $25.98 – $1,601.83 |
| HANFORD COMMUNITY HOSPITAL | Selma | $410.21 | $139.00 – $1,601.83 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $323.85 | $299.00 – $1,623.45 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $1,424.94 | $278.92 – $1,347.88 |
| WILLITS HOSPITAL INC | Willits | $647.70 | $299.00 – $1,626.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $156.17 | $152.00 – $1,601.83 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $582.93 | $299.00 – $1,623.45 |
| ADVENTIST HEALTH TULARE | Tulare | $410.21 | $299.00 – $1,404.62 |