Biopsy of tear sac at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$149.60
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.
?
What you pay up front if you don't use insurance.
$880.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$208.13 with HEALTHNET MCR ADV vs $792.00 with TRPN - THREE RIVERS PPO - ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 MCR ADV | HEALTHNET MCR ADV | $208.13 | ↑ +39% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $208.13 | ↑ +39% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $208.13 | ↑ +39% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $208.13 | ↑ +39% |
| UHC MCR ADV | UHC MCR ADV | $208.13 | ↑ +39% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $228.94 | ↑ +53% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $256.00 | ↑ +71% |
| HEALTHNET MCAL | HEALTHNET MCAL | $256.51 | ↑ +71% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $256.51 | ↑ +71% |
| MEDI-CAL | MEDI-CAL | $256.51 | ↑ +71% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $256.51 | ↑ +71% |
| BC MCAL | BC MCAL | $256.51 | ↑ +71% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $270.57 | ↑ +81% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $270.57 | ↑ +81% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $289.30 | ↑ +93% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $303.25 | ↑ +103% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $376.13 | ↑ +151% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $384.77 | ↑ +157% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $384.77 | ↑ +157% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $386.43 | ↑ +158% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $408.37 | ↑ +173% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $513.02 | ↑ +243% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $528.29 | ↑ +253% |
| BC MCS | BC MCS | $528.29 | ↑ +253% |
| UHC SELECT | UHC SELECT | $758.38 | ↑ +407% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $758.38 | ↑ +407% |
| UHC PPO | UHC PPO | $758.38 | ↑ +407% |
| UHC JLL BP | UHC JLL BP | $758.38 | ↑ +407% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $792.00 | ↑ +429% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $792.00 | ↑ +429% |
Visitor-reported prices
Comments
Biopsy of tear sac at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $6,871.20 | not published |
| Antioch Medical Center | ANTIOCH | $6,871.20 | not published |
| Redwood City Medical Center | Redwood City | $6,871.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $6,871.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $3,749.20 | not published |
| Riverside Medical Center | RIVERSIDE | $3,749.20 | not published |
| Fremont Medical Center | FREMONT | $6,871.20 | not published |
| Panorama Medical Center | PANORAMA CITY | $3,749.20 | not published |