Surgical pathology level 3 gross & microscopic examination at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$12.75
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.
?
What you pay up front if you don't use insurance.
$75.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$16.51 with KAISER - ALL PLANS vs $527.63 with AETNA - ALL OTHER PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $16.51 | ↑ +29% |
| UHC SELECT | UHC SELECT | $16.96 | ↑ +33% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $17.50 | ↑ +37% |
| UHC JLL BP | UHC JLL BP | $18.31 | ↑ +44% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $19.27 | ↑ +51% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $25.02 | ↑ +96% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $25.09 | ↑ +97% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $26.41 | ↑ +107% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $28.06 | ↑ +120% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $28.06 | ↑ +120% |
| UHC PPO | UHC PPO | $28.38 | ↑ +123% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $28.92 | ↑ +127% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $29.71 | ↑ +133% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $29.71 | ↑ +133% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $29.71 | ↑ +133% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $29.71 | ↑ +133% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $29.71 | ↑ +133% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $31.36 | ↑ +146% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $31.36 | ↑ +146% |
| MEDI-CAL | MEDI-CAL | $33.01 | ↑ +159% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $33.01 | ↑ +159% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $33.01 | ↑ +159% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $33.01 | ↑ +159% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $33.01 | ↑ +159% |
| HEALTHNET MCAL | HEALTHNET MCAL | $33.01 | ↑ +159% |
| UHC MCR ADV | UHC MCR ADV | $71.78 | ↑ +463% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $71.78 | ↑ +463% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $71.78 | ↑ +463% |
| AETNA MCR ADV | AETNA MCR ADV | $71.78 | ↑ +463% |
| PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $71.78 | ↑ +463% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $71.78 | ↑ +463% |
| BC EXCHANGE | BC EXCHANGE | $89.43 | ↑ +601% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $99.37 | ↑ +679% |
| BC MCS | BC MCS | $119.24 | ↑ +835% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $129.20 | ↑ +913% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $527.63 | ↑ +4038% |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $201.60 | $57.00 – $57.00 |
| St. John's Camarillo Hospital | Camarillo | $165.57 | $59.71 – $294.84 |
| Antioch Medical Center | ANTIOCH | $201.60 | $57.00 – $57.00 |
| Redwood City Medical Center | Redwood City | $201.60 | $57.00 – $57.00 |
| Santa Clara Medical Center | SANTA CLARA | $201.60 | $57.00 – $57.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $149.24 | $61.00 – $61.00 |
| Riverside Medical Center | RIVERSIDE | $149.24 | $61.00 – $61.00 |
| Fremont Medical Center | FREMONT | $201.60 | $57.00 – $57.00 |