Excision of stomach lesion at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$554.03
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.
$3,259.00
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.
$25.00 with CENTRAL CA ALLIANCE MCAL vs $2,933.10 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 |
|---|---|---|---|
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $25.00 | ↓ -95% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $25.00 | ↓ -95% |
| MEDI-CAL | MEDI-CAL | $25.00 | ↓ -95% |
| BC MCAL | BC MCAL | $25.00 | ↓ -95% |
| HEALTHNET MCAL | HEALTHNET MCAL | $25.00 | ↓ -95% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $37.50 | ↓ -93% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $37.50 | ↓ -93% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $50.00 | ↓ -91% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $890.01 | ↑ +61% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $890.01 | ↑ +61% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $890.01 | ↑ +61% |
| UHC MCR ADV | UHC MCR ADV | $890.01 | ↑ +61% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $890.01 | ↑ +61% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $979.01 | ↑ +77% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $1,094.71 | ↑ +98% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $1,157.01 | ↑ +109% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $1,157.01 | ↑ +109% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $1,237.11 | ↑ +123% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $1,291.38 | ↑ +133% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $1,296.74 | ↑ +134% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $1,364.70 | ↑ +146% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $1,502.98 | ↑ +171% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $1,744.64 | ↑ +215% |
| BC MCS | BC MCS | $1,744.64 | ↑ +215% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $2,808.61 | ↑ +407% |
| UHC PPO | UHC PPO | $2,808.61 | ↑ +407% |
| UHC JLL BP | UHC JLL BP | $2,808.61 | ↑ +407% |
| UHC SELECT | UHC SELECT | $2,808.61 | ↑ +407% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $2,933.10 | ↑ +429% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $2,933.10 | ↑ +429% |
Visitor-reported prices
Comments
Excision of stomach lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $619.21 | $28.58 – $1,691.94 |
| HANFORD COMMUNITY HOSPITAL | Selma | $619.21 | $552.87 – $1,691.94 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $488.85 | $110.57 – $1,771.68 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,150.94 | $110.57 – $1,364.70 |
| WILLITS HOSPITAL INC | Willits | $977.70 | $25.00 – $1,744.64 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $228.13 | $50.00 – $1,691.94 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $879.93 | $110.57 – $1,771.68 |
| ADVENTIST HEALTH TULARE | Tulare | $619.21 | $552.87 – $1,507.72 |