Established Patient Office Visit (level 4) at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$69.53
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.
$409.00
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.
$37.50 with HEALTHNET MCAL vs $217.55 with STANILAUS FOUNDATION - 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 MCAL | HEALTHNET MCAL | $37.50 | ↓ -46% |
| MEDI-CAL | MEDI-CAL | $37.50 | ↓ -46% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $37.50 | ↓ -46% |
| BC MCAL | BC MCAL | $37.50 | ↓ -46% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $37.50 | ↓ -46% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $56.25 | ↓ -19% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $56.25 | ↓ -19% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $60.94 | ↓ -12% |
| UHC MCR ADV | UHC MCR ADV | $84.93 | ↑ +22% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $84.93 | ↑ +22% |
| AETNA MCR ADV | AETNA MCR ADV | $84.93 | ↑ +22% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $84.93 | ↑ +22% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $84.93 | ↑ +22% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $84.93 | ↑ +22% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $93.42 | ↑ +34% |
| BC EXCHANGE | BC EXCHANGE | $95.81 | ↑ +38% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $104.46 | ↑ +50% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $106.46 | ↑ +53% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $110.41 | ↑ +59% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $110.41 | ↑ +59% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $114.50 | ↑ +65% |
| UHC SELECT | UHC SELECT | $117.66 | ↑ +69% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $118.05 | ↑ +70% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $119.60 | ↑ +72% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $123.74 | ↑ +78% |
| UHC JLL BP | UHC JLL BP | $127.03 | ↑ +83% |
| BC MCS | BC MCS | $127.80 | ↑ +84% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $133.71 | ↑ +92% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $148.43 | ↑ +113% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $156.86 | ↑ +126% |
| UHC PPO | UHC PPO | $163.74 | ↑ +135% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $171.00 | ↑ +146% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $171.00 | ↑ +146% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $206.10 | ↑ +196% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $206.10 | ↑ +196% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $206.10 | ↑ +196% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $206.10 | ↑ +196% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $217.55 | ↑ +213% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,281.82 | $61.88 – $475.30 |
| Arroyo Grande Hospital | Santa Maria | $1,129.07 | $53.79 – $381.00 |
| Mark Twain Medical Center | San Andreas | $212.46 | $55.63 – $210.70 |
| French Hospital | San Luis Obispo | $784.40 | $53.79 – $373.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $66.81 – $303.20 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $66.81 – $314.82 |
| St. Joseph's Behavioral Health Center | Stockton | $69.67 | $12.20 – $105.53 |