Injection for spleen x-ray at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$219.81
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.
$1,293.00
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.
$84.51 with MEDI-CAL vs $8,356.50 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $84.51 | ↓ -62% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $95.75 | ↓ -56% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $95.75 | ↓ -56% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $95.75 | ↓ -56% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $108.44 | ↓ -51% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $108.44 | ↓ -51% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $108.44 | ↓ -51% |
| UHC MCR ADV | UHC MCR ADV | $108.44 | ↓ -51% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $108.44 | ↓ -51% |
| AETNA MCR ADV | AETNA MCR ADV | $108.44 | ↓ -51% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $116.54 | ↓ -47% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $195.19 | ↓ -11% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $646.50 | ↑ +194% |
| UHC SELECT | UHC SELECT | $664.34 | ↑ +202% |
| UHC JLL BP | UHC JLL BP | $717.23 | ↑ +226% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $754.98 | ↑ +243% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $775.80 | ↑ +253% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $983.97 | ↑ +348% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $986.56 | ↑ +349% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $1,034.40 | ↑ +371% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,099.05 | ↑ +400% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $1,099.05 | ↑ +400% |
| UHC PPO | UHC PPO | $1,111.72 | ↑ +406% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $1,132.67 | ↑ +415% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $1,163.70 | ↑ +429% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1,163.70 | ↑ +429% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $1,163.70 | ↑ +429% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $1,163.70 | ↑ +429% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $1,163.70 | ↑ +429% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $1,228.35 | ↑ +459% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $1,228.35 | ↑ +459% |
| HEALTHNET MCAL | HEALTHNET MCAL | $2,540.75 | ↑ +1056% |
| BC EXCHANGE | BC EXCHANGE | $3,389.00 | ↑ +1442% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $3,793.00 | ↑ +1626% |
| BC MCS | BC MCS | $4,551.00 | ↑ +1970% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $8,356.50 | ↑ +3702% |
Visitor-reported prices
Comments
Injection for spleen x-ray at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $358.40 | not published |
| St. John's Camarillo Hospital | Camarillo | $197.98 | $119.29 – $352.56 |
| Antioch Medical Center | ANTIOCH | $358.40 | not published |
| Redwood City Medical Center | Redwood City | $358.40 | not published |
| Santa Clara Medical Center | SANTA CLARA | $358.40 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $754.00 | not published |
| Riverside Medical Center | RIVERSIDE | $754.00 | not published |
| Fremont Medical Center | FREMONT | $358.40 | not published |