Pr visit complexity e&m service serious/complex condition at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$17.00
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.
$100.00
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.
$0.02 with AETNA - ALL OTHER PLANS vs $58.50 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 |
|---|---|---|---|
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $0.02 | ↓ -100% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $14.50 | ↓ -15% |
| AETNA MCR ADV | AETNA MCR ADV | $14.50 | ↓ -15% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $14.50 | ↓ -15% |
| UHC MCR ADV | UHC MCR ADV | $14.50 | ↓ -15% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $14.50 | ↓ -15% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $14.50 | ↓ -15% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $14.50 | ↓ -15% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $15.95 | ↓ -6% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $18.85 | ↑ +11% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $18.85 | ↑ +11% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $19.50 | ↑ +15% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $19.50 | ↑ +15% |
| UHC SELECT | UHC SELECT | $20.04 | ↑ +18% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $20.16 | ↑ +19% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $21.13 | ↑ +24% |
| UHC JLL BP | UHC JLL BP | $21.63 | ↑ +27% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $22.77 | ↑ +34% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $23.17 | ↑ +36% |
| BC EXCHANGE | BC EXCHANGE | $23.38 | ↑ +38% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $24.48 | ↑ +44% |
| BC MCS | BC MCS | $25.98 | ↑ +53% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $25.98 | ↑ +53% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $31.20 | ↑ +84% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $33.15 | ↑ +95% |
| UHC PPO | UHC PPO | $33.53 | ↑ +97% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $35.10 | ↑ +106% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $35.10 | ↑ +106% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $35.10 | ↑ +106% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $35.10 | ↑ +106% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $37.05 | ↑ +118% |
| MEDI-CAL | MEDI-CAL | $39.00 | ↑ +129% |
| BC MCAL | BC MCAL | $39.00 | ↑ +129% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $39.00 | ↑ +129% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $39.00 | ↑ +129% |
| HEALTHNET MCAL | HEALTHNET MCAL | $39.00 | ↑ +129% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $44.19 | ↑ +160% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $44.19 | ↑ +160% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $58.50 | ↑ +244% |
Visitor-reported prices
Comments
Pr visit complexity e&m service serious/complex condition at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $27.98 | $10.87 – $41.16 |
| Healdsburg Hospital | Healdsburg | $57.63 | not published |
| Redwood Memorial Hospital | Fortuna | $26.52 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $7.41 | $0.01 – $78.00 |
| ST HELENA HOSPITAL | Vallejo | $6.45 | $0.01 – $82.75 |
| HANFORD COMMUNITY HOSPITAL | Selma | $7.41 | $0.01 – $74.00 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $7.08 | $0.05 – $75.60 |
| ADVENTIST HEALTH DELANO | Delano | $10.20 | $14.57 – $65.79 |