Breast reconstruction tram flap 19367 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$1,033.94
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.
$6,082.00
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.
$1,054.35 with MEDI-CAL vs $5,473.80 with TRPN - THREE RIVERS PPO - 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $1,054.35 | ↑ +2% |
| BC MCAL | BC MCAL | $1,054.35 | ↑ +2% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $1,054.35 | ↑ +2% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $1,054.35 | ↑ +2% |
| HEALTHNET MCAL | HEALTHNET MCAL | $1,054.35 | ↑ +2% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $1,549.17 | ↑ +50% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $1,549.17 | ↑ +50% |
| UHC MCR ADV | UHC MCR ADV | $1,549.17 | ↑ +50% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,549.17 | ↑ +50% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $1,549.17 | ↑ +50% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $1,581.53 | ↑ +53% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $1,581.53 | ↑ +53% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,704.09 | ↑ +65% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $1,905.48 | ↑ +84% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $2,013.92 | ↑ +95% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $2,013.92 | ↑ +95% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $2,108.70 | ↑ +104% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $2,153.35 | ↑ +108% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $2,257.14 | ↑ +118% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $2,431.76 | ↑ +135% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $2,569.83 | ↑ +149% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $2,635.17 | ↑ +155% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $3,749.54 | ↑ +263% |
| BC MCS | BC MCS | $3,749.54 | ↑ +263% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $5,241.47 | ↑ +407% |
| UHC PPO | UHC PPO | $5,241.47 | ↑ +407% |
| UHC JLL BP | UHC JLL BP | $5,241.47 | ↑ +407% |
| UHC SELECT | UHC SELECT | $5,241.47 | ↑ +407% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $5,473.80 | ↑ +429% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $5,473.80 | ↑ +429% |
Visitor-reported prices
Comments
Breast reconstruction tram flap 19367 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,155.58 | $51.50 – $3,738.10 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,155.58 | $1,054.35 – $3,738.10 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $912.30 | $1,054.35 – $4,214.90 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $4,014.12 | $210.72 – $2,569.83 |
| WILLITS HOSPITAL INC | Willits | $1,824.60 | $1,054.35 – $3,749.54 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $425.74 | $95.00 – $3,738.10 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,642.14 | $210.72 – $4,214.90 |
| ADVENTIST HEALTH TULARE | Tulare | $1,155.58 | $95.00 – $3,240.39 |