Brief chkin by md/qhp, 11-20 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$28.90
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.
?
What you pay up front if you don't use insurance.
$170.00
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.
$22.46 with BLUE SHIELD MCARE vs $93.00 with CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA — 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 |
|---|---|---|---|
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $22.46 | ↓ -22% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $22.46 | ↓ -22% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $22.46 | ↓ -22% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $22.46 | ↓ -22% |
| UHC MCR ADV | UHC MCR ADV | $22.46 | ↓ -22% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $22.46 | ↓ -22% |
| AETNA MCR ADV | AETNA MCR ADV | $22.46 | ↓ -22% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $24.71 | ↓ -14% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $29.20 | ↑ +1% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $29.20 | ↑ +1% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $31.00 | ↑ +7% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $31.22 | ↑ +8% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $32.50 | ↑ +12% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $32.72 | ↑ +13% |
| UHC SELECT | UHC SELECT | $33.40 | ↑ +16% |
| UHC JLL BP | UHC JLL BP | $36.06 | ↑ +25% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $36.25 | ↑ +25% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $37.95 | ↑ +31% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $38.27 | ↑ +32% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $38.31 | ↑ +33% |
| BC EXCHANGE | BC EXCHANGE | $38.97 | ↑ +35% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $43.30 | ↑ +50% |
| BC MCS | BC MCS | $43.30 | ↑ +50% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $52.00 | ↑ +80% |
| UHC PPO | UHC PPO | $53.43 | ↑ +85% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $55.25 | ↑ +91% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $58.50 | ↑ +102% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $58.50 | ↑ +102% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $58.50 | ↑ +102% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $58.50 | ↑ +102% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $61.75 | ↑ +114% |
| MEDI-CAL | MEDI-CAL | $62.00 | ↑ +115% |
| BC MCAL | BC MCAL | $62.00 | ↑ +115% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $62.00 | ↑ +115% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $62.00 | ↑ +115% |
| HEALTHNET MCAL | HEALTHNET MCAL | $62.00 | ↑ +115% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $73.65 | ↑ +155% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $73.65 | ↑ +155% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $93.00 | ↑ +222% |
Visitor-reported prices
Comments
Brief chkin by md/qhp, 11-20 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $12.35 | $22.46 – $124.00 |
| ST HELENA HOSPITAL | Vallejo | $10.20 | $24.15 – $82.75 |
| HANFORD COMMUNITY HOSPITAL | Selma | $11.78 | $22.46 – $104.16 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $9.30 | $22.59 – $87.42 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $42.90 | $20.67 – $89.90 |
| WILLITS HOSPITAL INC | Willits | $27.60 | $22.46 – $76.84 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $4.55 | $22.46 – $74.40 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $17.55 | $22.59 – $523.31 |