Membrane collgn porcine maci w/autologous cult chondrocytes at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$53,297.04
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.
$313,512.00
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.
$5,285.00 with BLUE SHIELD EPN vs $466,819.37 with HEALTHNET MCAL — 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 |
|---|---|---|---|
| BLUE SHIELD EPN | BLUE SHIELD EPN | $5,285.00 | ↓ -90% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $5,459.00 | ↓ -90% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $78,378.00 | ↑ +47% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $78,378.00 | ↑ +47% |
| BC MCAL | BC MCAL | $78,378.00 | ↑ +47% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $78,378.00 | ↑ +47% |
| BC EXCHANGE | BC EXCHANGE | $110,640.93 | ↑ +108% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $122,931.86 | ↑ +131% |
| BC MCS | BC MCS | $147,519.36 | ↑ +177% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $156,756.00 | ↑ +194% |
| UHC SELECT | UHC SELECT | $161,082.47 | ↑ +202% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $166,161.36 | ↑ +212% |
| UHC JLL BP | UHC JLL BP | $173,905.11 | ↑ +226% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $183,059.66 | ↑ +243% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $184,197.20 | ↑ +246% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $250,809.60 | ↑ +371% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $266,485.20 | ↑ +400% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $266,485.20 | ↑ +400% |
| UHC PPO | UHC PPO | $269,557.62 | ↑ +406% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $274,636.51 | ↑ +415% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $282,160.80 | ↑ +429% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $282,160.80 | ↑ +429% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $282,160.80 | ↑ +429% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $282,160.80 | ↑ +429% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $282,160.80 | ↑ +429% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $297,836.40 | ↑ +459% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $297,836.40 | ↑ +459% |
| MEDI-CAL | MEDI-CAL | $313,512.00 | ↑ +488% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $432,333.05 | ↑ +711% |
| HEALTHNET MCAL | HEALTHNET MCAL | $466,819.37 | ↑ +776% |
Visitor-reported prices
Comments
Membrane collgn porcine maci w/autologous cult chondrocytes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $74,569.15 | $38,582.94 – $160,796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $73,765.17 | $50,248.75 – $200,995.00 |
| St. Joseph's Medical Center Stockton | Stockton | $35,455.52 | $31,355.22 – $221,691.13 |
| Mercy Medical Center Merced | Merced | $39,334.16 | $19,094.25 – $76,377.00 |
| Dominican Hospital | Santa Cruz | $131,891.85 | $79,081.20 – $293,093.00 |
| Sequoia Hospital | Redwood City | $85,304.50 | $51,557.66 – $234,353.00 |
| Mercy San Juan Medical Center | Carmichael | $84,468.72 | $33,910.80 – $255,872.40 |
| Mercy General Hospital | Sacramento | $67,205.04 | $51,975.00 – $246,624.00 |