Annual Physical, Established Patient (age 40-64) at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$52.00
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.
?
What you pay up front if you don't use insurance.
$260.00
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.
$33.85 with BLUE CROSS EXCHANGE vs $280.46 with KAISER MCR ADV — 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 |
|---|---|---|---|
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $33.85 | ↓ -35% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $33.91 | ↓ -35% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $34.35 | ↓ -34% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $37.61 | ↓ -28% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $37.61 | ↓ -28% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $50.73 | ↓ -2% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $50.91 | ↓ -2% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $57.85 | ↑ +11% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $59.02 | ↑ +14% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $66.75 | ↑ +28% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $69.42 | ↑ +34% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $70.42 | ↑ +35% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $71.20 | ↑ +37% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $71.20 | ↑ +37% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $71.20 | ↑ +37% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $72.98 | ↑ +40% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $74.40 | ↑ +43% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $75.65 | ↑ +45% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $75.65 | ↑ +45% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $75.65 | ↑ +45% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $80.10 | ↑ +54% |
| KAISER MEDI-CAL | KAISER MEDI-CAL | $89.00 | ↑ +71% |
| MEDI-CAL | MEDI-CAL | $89.00 | ↑ +71% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $182.00 | ↑ +250% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $280.46 | ↑ +439% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $280.46 | ↑ +439% |
| KAISER MCR ADV | KAISER MCR ADV | $280.46 | ↑ +439% |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 40-64) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $137.19 | not published |
| Mercy Medical Center Merced | Merced | $217.85 | $109.90 – $418.77 |
| St. Mary Medical Center | Long Beach | $144.91 | $84.25 – $549.50 |
| Glendale Memorial Hospital Health Center | Glendale | $78.24 | $60.00 – $464.88 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $49.40 | $2.78 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $44.85 | $119.37 – $209.45 |
| HANFORD COMMUNITY HOSPITAL | Selma | $49.40 | $105.01 – $436.80 |