Pr e&m preventive medicine initial comprehensive new patient 12-17 years at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$43.69
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.
$257.00
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.
$32.00 with KAISER - ALL PLANS vs $333.00 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 | $32.00 | ↓ -27% |
| UHC SELECT | UHC SELECT | $32.88 | ↓ -25% |
| UHC JLL BP | UHC JLL BP | $35.50 | ↓ -19% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $37.37 | ↓ -14% |
| BC EXCHANGE | BC EXCHANGE | $38.37 | ↓ -12% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $42.63 | ↓ -2% |
| BC MCS | BC MCS | $42.63 | ↓ -2% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $44.47 | ↑ +2% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $46.08 | ↑ +5% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $48.51 | ↑ +11% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $48.64 | ↑ +11% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $51.20 | ↑ +17% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $54.40 | ↑ +25% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $54.40 | ↑ +25% |
| UHC PPO | UHC PPO | $55.03 | ↑ +26% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $56.06 | ↑ +28% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $57.60 | ↑ +32% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $57.60 | ↑ +32% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $57.60 | ↑ +32% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $57.60 | ↑ +32% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $57.60 | ↑ +32% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $60.80 | ↑ +39% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $60.80 | ↑ +39% |
| MEDI-CAL | MEDI-CAL | $64.00 | ↑ +46% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $72.51 | ↑ +66% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $72.51 | ↑ +66% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $72.51 | ↑ +66% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $88.26 | ↑ +102% |
| HEALTHNET MCAL | HEALTHNET MCAL | $95.30 | ↑ +118% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +248% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $152.00 | ↑ +248% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +248% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $152.00 | ↑ +248% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $152.00 | ↑ +248% |
| AETNA MCR ADV | AETNA MCR ADV | $152.00 | ↑ +248% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $155.40 | ↑ +256% |
| BC MCAL | BC MCAL | $222.00 | ↑ +408% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $333.00 | ↑ +662% |
Visitor-reported prices
Comments
Pr e&m preventive medicine initial comprehensive new patient 12-17 years at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $151.85 | $58.99 – $223.44 |
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $134.93 | $94.35 – $259.38 |
| St. Mary Medical Center | Long Beach | $169.85 | $51.75 – $471.75 |
| Glendale Memorial Hospital Health Center | Glendale | $70.75 | $54.25 – $399.10 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $58.71 | $2.93 – $675.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $42.18 | $105.01 – $372.96 |