In-111 pentetate dtpa / 0.5 mci at SONORA COMMUNITY HOSPITAL

1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376

Source: hospital's published price file ↗ · Published May 23, 2026 · Ingested Sep 16, 2026

$453.90

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,670.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$533.69 with BC EXCHANGE vs $8,487.10 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 →

Payer
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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
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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 EXCHANGE BC EXCHANGE $533.69 ↑ +18%
BC NON-MCS - ALL OTHER PLANS BC NON-MCS - ALL OTHER PLANS $592.98 ↑ +31%
BC MCS BC MCS $711.58 ↑ +57%
UHC MCR ADV UHC MCR ADV $745.62 ↑ +64%
PHS PRIME HEALTH SRVCS-ALL PLANS PHS PRIME HEALTH SRVCS-ALL PLANS $745.62 ↑ +64%
HEALTHNET MCR ADV HEALTHNET MCR ADV $745.62 ↑ +64%
BLUE SHIELD MCARE BLUE SHIELD MCARE $745.62 ↑ +64%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $745.62 ↑ +64%
AETNA MCR ADV AETNA MCR ADV $745.62 ↑ +64%
MEDI-CAL MEDI-CAL $780.87 ↑ +72%
CENTRAL CA ALLIANCE CCS MCAL CENTRAL CA ALLIANCE CCS MCAL $884.73 ↑ +95%
CENTRAL CA ALLIANCE CHDP MCAL CENTRAL CA ALLIANCE CHDP MCAL $884.73 ↑ +95%
CENTRAL CA ALLIANCE MCAL CENTRAL CA ALLIANCE MCAL $884.73 ↑ +95%
CELTIC CA HLTH WELL MCAL - ALL PLANS CELTIC CA HLTH WELL MCAL - ALL PLANS $1,076.82 ↑ +137%
HEALTHNET MCAL HEALTHNET MCAL $1,162.72 ↑ +156%
KAISER - ALL PLANS KAISER - ALL PLANS $1,335.00 ↑ +194%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,342.12 ↑ +196%
UHC SELECT UHC SELECT $1,371.85 ↑ +202%
UHC JLL BP UHC JLL BP $1,481.05 ↑ +226%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $1,548.60 ↑ +241%
UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $1,559.01 ↑ +243%
BLUE SHIELD EPN BLUE SHIELD EPN $2,023.86 ↑ +346%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $2,029.20 ↑ +347%
TRPN - THREE RIVERS PPO - ALL PLANS TRPN - THREE RIVERS PPO - ALL PLANS $2,136.00 ↑ +371%
GREATWEST OA/POS/HMO GREATWEST OA/POS/HMO $2,269.50 ↑ +400%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $2,269.50 ↑ +400%
UHC PPO UHC PPO $2,295.67 ↑ +406%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $2,338.92 ↑ +415%
GREATWEST PPO - ALL OTHER PLANS GREATWEST PPO - ALL OTHER PLANS $2,403.00 ↑ +429%
INTERPLAN - ALL PLANS INTERPLAN - ALL PLANS $2,403.00 ↑ +429%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $2,403.00 ↑ +429%
AFFORDABLE HEALTH - ALL PLANS AFFORDABLE HEALTH - ALL PLANS $2,403.00 ↑ +429%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $2,403.00 ↑ +429%
CIGNA PPO - ALL PLANS CIGNA PPO - ALL PLANS $2,536.50 ↑ +459%
STANILAUS FOUNDATION - ALL PLANS STANILAUS FOUNDATION - ALL PLANS $2,536.50 ↑ +459%
AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $8,487.10 ↑ +1770%

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $4,666.65 $232.00 – $232.00
St. John's Camarillo Hospital Camarillo $1,712.15 $312.91 – $3,049.02
Antioch Medical Center ANTIOCH $4,666.65 $232.00 – $232.00
Redwood City Medical Center Redwood City $4,666.65 $232.00 – $232.00
Santa Clara Medical Center SANTA CLARA $4,666.65 $232.00 – $232.00
Baldwin Park Medical Center BALDWIN PARK $4,333.32 $207.00 – $207.00
Riverside Medical Center RIVERSIDE $4,333.32 $207.00 – $207.00
Fremont Medical Center FREMONT $4,666.65 $232.00 – $232.00

All California hospitals for this procedure →