Ip/obs consltj new/est hi 80 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$97.75
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.
$575.00
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.
$152.00 with UHC MCR ADV vs $690.00 with CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA — 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 |
|---|---|---|---|
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +55% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $152.00 | ↑ +55% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $152.00 | ↑ +55% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +55% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $152.00 | ↑ +55% |
| AETNA MCR ADV | AETNA MCR ADV | $152.00 | ↑ +55% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $230.00 | ↑ +135% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $230.00 | ↑ +135% |
| UHC SELECT | UHC SELECT | $236.35 | ↑ +142% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $236.75 | ↑ +142% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $250.20 | ↑ +156% |
| UHC JLL BP | UHC JLL BP | $255.16 | ↑ +161% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $268.59 | ↑ +175% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $273.60 | ↑ +180% |
| BC EXCHANGE | BC EXCHANGE | $275.77 | ↑ +182% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $288.84 | ↑ +195% |
| BC MCS | BC MCS | $306.41 | ↑ +213% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $306.41 | ↑ +213% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $331.20 | ↑ +239% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $368.00 | ↑ +276% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $391.00 | ↑ +300% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $391.00 | ↑ +300% |
| UHC PPO | UHC PPO | $395.51 | ↑ +305% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $402.96 | ↑ +312% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $414.00 | ↑ +324% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $414.00 | ↑ +324% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $414.00 | ↑ +324% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $414.00 | ↑ +324% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $414.00 | ↑ +324% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $437.00 | ↑ +347% |
| MEDI-CAL | MEDI-CAL | $460.00 | ↑ +371% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $460.00 | ↑ +371% |
| BC MCAL | BC MCAL | $460.00 | ↑ +371% |
| HEALTHNET MCAL | HEALTHNET MCAL | $460.00 | ↑ +371% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $460.00 | ↑ +371% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $521.18 | ↑ +433% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $521.18 | ↑ +433% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $690.00 | ↑ +606% |
Visitor-reported prices
Comments
Ip/obs consltj new/est hi 80 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $149.19 | $57.95 – $219.52 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $109.25 | $5.76 – $920.00 |
| ST HELENA HOSPITAL | Vallejo | $90.90 | $247.01 – $606.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $87.40 | $139.00 – $772.80 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $69.00 | $178.13 – $616.40 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $379.50 | $20.67 – $667.00 |
| WILLITS HOSPITAL INC | Willits | $172.50 | $201.13 – $460.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $40.25 | $152.00 – $552.00 |