Partial proctectomy; perineal 45123 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$640.90
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.
$3,770.00
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.
$173.12 with CENTRAL CA ALLIANCE MCAL vs $3,393.00 with TRPN - THREE RIVERS PPO - ALL 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 |
|---|---|---|---|
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $173.12 | ↓ -73% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $173.12 | ↓ -73% |
| MEDI-CAL | MEDI-CAL | $173.12 | ↓ -73% |
| BC MCAL | BC MCAL | $173.12 | ↓ -73% |
| HEALTHNET MCAL | HEALTHNET MCAL | $173.12 | ↓ -73% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $259.68 | ↓ -59% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $259.68 | ↓ -59% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $346.24 | ↓ -46% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $1,022.02 | ↑ +59% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $1,022.02 | ↑ +59% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,022.02 | ↑ +59% |
| UHC MCR ADV | UHC MCR ADV | $1,022.02 | ↑ +59% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $1,022.02 | ↑ +59% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,124.22 | ↑ +75% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $1,257.08 | ↑ +96% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $1,328.63 | ↑ +107% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $1,328.63 | ↑ +107% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $1,420.61 | ↑ +122% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $1,452.47 | ↑ +127% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $1,489.08 | ↑ +132% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $1,534.94 | ↑ +139% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $1,730.42 | ↑ +170% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $1,970.12 | ↑ +207% |
| BC MCS | BC MCS | $1,970.12 | ↑ +207% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $3,248.99 | ↑ +407% |
| UHC PPO | UHC PPO | $3,248.99 | ↑ +407% |
| UHC JLL BP | UHC JLL BP | $3,248.99 | ↑ +407% |
| UHC SELECT | UHC SELECT | $3,248.99 | ↑ +407% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $3,393.00 | ↑ +429% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $3,393.00 | ↑ +429% |
Visitor-reported prices
Comments
Partial proctectomy; perineal 45123 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $716.30 | $32.24 – $1,910.61 |
| HANFORD COMMUNITY HOSPITAL | Selma | $716.30 | $173.12 – $1,910.61 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $565.50 | $60.00 – $2,000.66 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,488.20 | $90.00 – $1,534.94 |
| WILLITS HOSPITAL INC | Willits | $1,131.00 | $60.00 – $1,970.12 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $263.90 | $865.60 – $1,910.61 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,017.90 | $60.00 – $2,000.66 |
| ADVENTIST HEALTH TULARE | Tulare | $716.30 | $173.12 – $1,702.58 |