External newborn metabolic screening panel at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$35.70
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.
$210.00
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.
$70.63 with KAISER - ALL PLANS vs $384.92 with AETNA - ALL OTHER 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 |
|---|---|---|---|
| KAISER - ALL PLANS | KAISER - ALL PLANS | $70.63 | ↑ +98% |
| UHC SELECT | UHC SELECT | $72.57 | ↑ +103% |
| UHC JLL BP | UHC JLL BP | $78.35 | ↑ +119% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $82.48 | ↑ +131% |
| BC EXCHANGE | BC EXCHANGE | $84.68 | ↑ +137% |
| BC MCS | BC MCS | $94.09 | ↑ +164% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $94.09 | ↑ +164% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $101.70 | ↑ +185% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $107.07 | ↑ +200% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $107.35 | ↑ +201% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $113.00 | ↑ +217% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $120.06 | ↑ +236% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $120.06 | ↑ +236% |
| UHC PPO | UHC PPO | $121.45 | ↑ +240% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $123.74 | ↑ +247% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $127.13 | ↑ +256% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $127.13 | ↑ +256% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $127.13 | ↑ +256% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $127.13 | ↑ +256% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $127.13 | ↑ +256% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $134.19 | ↑ +276% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $134.19 | ↑ +276% |
| MEDI-CAL | MEDI-CAL | $141.25 | ↑ +296% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $160.04 | ↑ +348% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $160.04 | ↑ +348% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $160.04 | ↑ +348% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $194.78 | ↑ +446% |
| HEALTHNET MCAL | HEALTHNET MCAL | $210.32 | ↑ +489% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $384.92 | ↑ +978% |
Visitor-reported prices
Comments
External newborn metabolic screening panel at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $109.76 | not published |
| St. John's Camarillo Hospital | Camarillo | $91.98 | $56.70 – $163.80 |
| Antioch Medical Center | ANTIOCH | $109.76 | not published |
| Redwood City Medical Center | Redwood City | $109.76 | not published |
| Santa Clara Medical Center | SANTA CLARA | $109.76 | not published |
| Fremont Medical Center | FREMONT | $109.76 | not published |
| Banner Lassen Medical Center | Susanville | $122.48 | $72.57 – $348.15 |
| Sacramento Medical Center | SACRAMENTO | $109.76 | not published |