Established Patient Office Visit (level 3) at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$56.10
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.
$330.00
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.
$24.00 with HEALTHNET MCAL vs $174.80 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 |
|---|---|---|---|
| HEALTHNET MCAL | HEALTHNET MCAL | $24.00 | ↓ -57% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $24.00 | ↓ -57% |
| MEDI-CAL | MEDI-CAL | $24.00 | ↓ -57% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $24.00 | ↓ -57% |
| BC MCAL | BC MCAL | $24.00 | ↓ -57% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $36.00 | ↓ -36% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $36.00 | ↓ -36% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $39.00 | ↓ -30% |
| UHC MCR ADV | UHC MCR ADV | $57.85 | ↑ +3% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $57.85 | ↑ +3% |
| AETNA MCR ADV | AETNA MCR ADV | $57.85 | ↑ +3% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $57.85 | ↑ +3% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $57.85 | ↑ +3% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $57.85 | ↑ +3% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $63.64 | ↑ +13% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $71.16 | ↑ +27% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $75.21 | ↑ +34% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $75.21 | ↑ +34% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $77.63 | ↑ +38% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $80.41 | ↑ +43% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $84.29 | ↑ +50% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $92.00 | ↑ +64% |
| UHC SELECT | UHC SELECT | $94.54 | ↑ +69% |
| UHC JLL BP | UHC JLL BP | $102.06 | ↑ +82% |
| BC MCS | BC MCS | $105.38 | ↑ +88% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $105.38 | ↑ +88% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $107.44 | ↑ +92% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $109.15 | ↑ +95% |
| BC EXCHANGE | BC EXCHANGE | $110.31 | ↑ +97% |
| UHC PPO | UHC PPO | $111.17 | ↑ +98% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $115.34 | ↑ +106% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $116.10 | ↑ +107% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $116.10 | ↑ +107% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $165.60 | ↑ +195% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $165.60 | ↑ +195% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $165.60 | ↑ +195% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $165.60 | ↑ +195% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $174.80 | ↑ +212% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $642.42 | $59.21 – $226.00 |
| Banner Lassen Medical Center | Susanville | $1,479.42 | $39.60 – $354.05 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $34.43 – $351.00 |
| Mark Twain Medical Center | San Andreas | $138.53 | $36.22 – $137.20 |
| French Hospital | San Luis Obispo | $149.36 | $34.43 – $343.98 |
| Bakersfield Memorial Hospital | Bakersfield | $107.54 | $42.76 – $232.00 |
| Healdsburg Hospital | Healdsburg | $302.43 | not published |
| Redwood Memorial Hospital | Fortuna | $161.16 | not published |