Off/op cnsltj new/est low 30 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$47.77
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.
$281.00
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.
$28.50 with KAISER - ALL PLANS vs $288.00 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 |
|---|---|---|---|
| KAISER - ALL PLANS | KAISER - ALL PLANS | $28.50 | ↓ -40% |
| UHC SELECT | UHC SELECT | $29.29 | ↓ -39% |
| UHC JLL BP | UHC JLL BP | $31.62 | ↓ -34% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $33.28 | ↓ -30% |
| BC EXCHANGE | BC EXCHANGE | $34.17 | ↓ -28% |
| BC MCS | BC MCS | $37.97 | ↓ -21% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $37.97 | ↓ -21% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $39.61 | ↓ -17% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $41.04 | ↓ -14% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $43.21 | ↓ -10% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $43.32 | ↓ -9% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $45.60 | ↓ -5% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $48.45 | ↑ +1% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $48.45 | ↑ +1% |
| UHC PPO | UHC PPO | $49.01 | ↑ +3% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $49.93 | ↑ +5% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $51.30 | ↑ +7% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $51.30 | ↑ +7% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $51.30 | ↑ +7% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $51.30 | ↑ +7% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $51.30 | ↑ +7% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $54.15 | ↑ +13% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $54.15 | ↑ +13% |
| MEDI-CAL | MEDI-CAL | $57.00 | ↑ +19% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $64.58 | ↑ +35% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $64.58 | ↑ +35% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $64.58 | ↑ +35% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $78.60 | ↑ +65% |
| HEALTHNET MCAL | HEALTHNET MCAL | $84.87 | ↑ +78% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $134.40 | ↑ +181% |
| BC MCAL | BC MCAL | $192.00 | ↑ +302% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $288.00 | ↑ +503% |
Visitor-reported prices
Comments
Off/op cnsltj new/est low 30 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $209.79 | $81.50 – $308.70 |
| Mercy Medical Center Merced | Merced | $88.58 | $103.20 – $172.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $53.39 | $2.74 – $384.00 |
| ST HELENA HOSPITAL | Vallejo | $49.20 | $117.59 – $328.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $36.48 | $108.89 – $322.56 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $28.80 | $85.96 – $270.72 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $185.46 | $20.67 – $278.40 |