Fusion of big toe joint at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$203.15
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.
$1,195.00
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.
$40.95 with BC MCAL vs $1,075.50 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 |
|---|---|---|---|
| BC MCAL | BC MCAL | $40.95 | ↓ -80% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $40.95 | ↓ -80% |
| MEDI-CAL | MEDI-CAL | $40.95 | ↓ -80% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $40.95 | ↓ -80% |
| HEALTHNET MCAL | HEALTHNET MCAL | $40.95 | ↓ -80% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $61.43 | ↓ -70% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $61.43 | ↓ -70% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $81.90 | ↓ -60% |
| UHC MCR ADV | UHC MCR ADV | $475.83 | ↑ +134% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $475.83 | ↑ +134% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $475.83 | ↑ +134% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $475.83 | ↑ +134% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $475.83 | ↑ +134% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $511.93 | ↑ +152% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $523.41 | ↑ +158% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $585.27 | ↑ +188% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $618.58 | ↑ +204% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $618.58 | ↑ +204% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $661.40 | ↑ +226% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $666.51 | ↑ +228% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $693.28 | ↑ +241% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $704.36 | ↑ +247% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $846.18 | ↑ +317% |
| BC MCS | BC MCS | $846.18 | ↑ +317% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $1,029.85 | ↑ +407% |
| UHC PPO | UHC PPO | $1,029.85 | ↑ +407% |
| UHC JLL BP | UHC JLL BP | $1,029.85 | ↑ +407% |
| UHC SELECT | UHC SELECT | $1,029.85 | ↑ +407% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,075.50 | ↑ +429% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $1,075.50 | ↑ +429% |
Visitor-reported prices
Comments
Fusion of big toe joint at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $10,505.60 | not published |
| Antioch Medical Center | ANTIOCH | $10,505.60 | not published |
| Redwood City Medical Center | Redwood City | $10,505.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $10,505.60 | not published |
| Fremont Medical Center | FREMONT | $10,505.60 | not published |
| Sacramento Medical Center | SACRAMENTO | $10,505.60 | not published |
| Oakland Medical Center | Oakland | $10,505.60 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $10,505.60 | not published |