Prev med cnsl indiv apprx 30 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$26.18
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.
$154.00
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.
$26.00 with KAISER - ALL PLANS vs $152.00 with AETNA MCR ADV — 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 | $26.00 | ↓ -1% |
| UHC SELECT | UHC SELECT | $26.72 | ↑ +2% |
| UHC JLL BP | UHC JLL BP | $28.84 | ↑ +10% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $30.36 | ↑ +16% |
| BC EXCHANGE | BC EXCHANGE | $31.17 | ↑ +19% |
| BC MCS | BC MCS | $34.64 | ↑ +32% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $34.64 | ↑ +32% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $36.13 | ↑ +38% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $37.44 | ↑ +43% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $39.42 | ↑ +51% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $39.52 | ↑ +51% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $41.60 | ↑ +59% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $44.20 | ↑ +69% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $44.20 | ↑ +69% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $44.50 | ↑ +70% |
| UHC PPO | UHC PPO | $44.71 | ↑ +71% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $45.55 | ↑ +74% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $46.80 | ↑ +79% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $46.80 | ↑ +79% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $46.80 | ↑ +79% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $46.80 | ↑ +79% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $46.80 | ↑ +79% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $49.40 | ↑ +89% |
| MEDI-CAL | MEDI-CAL | $52.00 | ↑ +99% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $58.92 | ↑ +125% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $58.92 | ↑ +125% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $58.92 | ↑ +125% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $62.30 | ↑ +138% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $71.71 | ↑ +174% |
| HEALTHNET MCAL | HEALTHNET MCAL | $77.43 | ↑ +196% |
| BC MCAL | BC MCAL | $89.00 | ↑ +240% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $133.50 | ↑ +410% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $152.00 | ↑ +481% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +481% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +481% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $152.00 | ↑ +481% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $152.00 | ↑ +481% |
| AETNA MCR ADV | AETNA MCR ADV | $152.00 | ↑ +481% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 30 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sequoia Hospital | Redwood City | $14.56 | $17.20 – $236.00 |
| St. Mary Medical Center | Long Beach | $34.40 | $20.00 – $232.00 |
| Glendale Memorial Hospital Health Center | Glendale | $42.06 | $31.98 – $232.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $29.26 | $1.45 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $27.60 | $184.00 – $184.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $16.91 | $57.25 – $149.52 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $13.35 | $48.29 – $125.49 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $101.64 | $20.67 – $278.92 |