Off/op cnsltj new/est mod 40 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$68.51
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.
?
What you pay up front if you don't use insurance.
$403.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$32.00 with KAISER - ALL PLANS vs $469.50 with CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $32.00 | ↓ -53% |
| UHC SELECT | UHC SELECT | $32.88 | ↓ -52% |
| UHC JLL BP | UHC JLL BP | $35.50 | ↓ -48% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $37.37 | ↓ -45% |
| BC EXCHANGE | BC EXCHANGE | $38.37 | ↓ -44% |
| BC MCS | BC MCS | $42.63 | ↓ -38% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $42.63 | ↓ -38% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $44.47 | ↓ -35% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $46.08 | ↓ -33% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $48.51 | ↓ -29% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $48.64 | ↓ -29% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $51.20 | ↓ -25% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $54.40 | ↓ -21% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $54.40 | ↓ -21% |
| UHC PPO | UHC PPO | $55.03 | ↓ -20% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $56.06 | ↓ -18% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $57.60 | ↓ -16% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $57.60 | ↓ -16% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $57.60 | ↓ -16% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $57.60 | ↓ -16% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $57.60 | ↓ -16% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $60.80 | ↓ -11% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $60.80 | ↓ -11% |
| MEDI-CAL | MEDI-CAL | $64.00 | ↓ -7% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $72.51 | ↑ +6% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $72.51 | ↑ +6% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $72.51 | ↑ +6% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $88.26 | ↑ +29% |
| HEALTHNET MCAL | HEALTHNET MCAL | $95.30 | ↑ +39% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $219.10 | ↑ +220% |
| BC MCAL | BC MCAL | $313.00 | ↑ +357% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $469.50 | ↑ +585% |
Visitor-reported prices
Comments
Off/op cnsltj new/est mod 40 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $319.02 | $123.92 – $469.42 |
| Mercy Medical Center Merced | Merced | $121.03 | $134.00 – $235.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $76.57 | $4.41 – $626.00 |
| ST HELENA HOSPITAL | Vallejo | $70.50 | $189.09 – $470.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $59.47 | $174.98 – $525.84 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $72.75 | $136.90 – $379.93 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $265.98 | $20.67 – $363.00 |