Revise/replace knee joint at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$1,017.11
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.
$5,983.00
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.
$95.00 with CELTIC CA HLTH WELL MCAL - ALL PLANS vs $3,699.13 with BC NON-MCS - ALL OTHER 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 |
|---|---|---|---|
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $95.00 | ↓ -91% |
| MEDI-CAL | MEDI-CAL | $95.00 | ↓ -91% |
| BC MCAL | BC MCAL | $95.00 | ↓ -91% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $95.00 | ↓ -91% |
| HEALTHNET MCAL | HEALTHNET MCAL | $95.00 | ↓ -91% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $142.50 | ↓ -86% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $142.50 | ↓ -86% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $190.00 | ↓ -81% |
| UHC SELECT | UHC SELECT | $701.51 | ↓ -31% |
| UHC PPO | UHC PPO | $701.51 | ↓ -31% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $701.51 | ↓ -31% |
| UHC JLL BP | UHC JLL BP | $701.51 | ↓ -31% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $732.60 | ↓ -28% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $732.60 | ↓ -28% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,551.19 | ↑ +53% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $1,551.19 | ↑ +53% |
| UHC MCR ADV | UHC MCR ADV | $1,551.19 | ↑ +53% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $1,551.19 | ↑ +53% |
| CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY | $1,551.19 | ↑ +53% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,706.31 | ↑ +68% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $1,907.96 | ↑ +88% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $2,016.55 | ↑ +98% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $2,016.55 | ↑ +98% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $2,156.15 | ↑ +112% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $2,260.08 | ↑ +122% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $2,631.34 | ↑ +159% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $2,633.59 | ↑ +159% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $2,783.12 | ↑ +174% |
| BC MCS | BC MCS | $3,699.13 | ↑ +264% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $3,699.13 | ↑ +264% |
Visitor-reported prices
Comments
Revise/replace knee joint at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3,050.95 | $1,185.11 – $4,489.38 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,136.77 | $50.88 – $3,564.10 |
| ST HELENA HOSPITAL | Vallejo | $989.10 | $285.55 – $4,069.67 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,136.77 | $95.00 – $22,551.40 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $897.45 | $814.00 – $22,551.40 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $3,948.78 | $60.00 – $2,783.12 |
| WILLITS HOSPITAL INC | Willits | $1,794.90 | $285.55 – $3,699.13 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $418.81 | $698.00 – $3,564.10 |