Breath hydrogen test 91065 at UKIAH ADVENTIST HOSPITAL

275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676

Source: hospital's published price file ↗ · Published May 24, 2026 · Ingested Sep 16, 2026

$86.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$432.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$9.90 with KAISER MCR ADV vs $297.43 with UHC 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 →

Payer
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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
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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 MCR ADV KAISER MCR ADV $9.90 ↓ -89%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $9.90 ↓ -89%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $9.90 ↓ -89%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $10.89 ↓ -87%
CIGNA-ALL PLANS CIGNA-ALL PLANS $12.57 ↓ -85%
UHC JLL CSP 1/1/25 UHC JLL CSP 1/1/25 $12.72 ↓ -85%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $14.16 ↓ -84%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $14.42 ↓ -83%
MENDOCINO LCC DISTRICT-ALL PLANS MENDOCINO LCC DISTRICT-ALL PLANS $14.95 ↓ -83%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $16.19 ↓ -81%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $17.11 ↓ -80%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $18.40 ↓ -79%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $20.70 ↓ -76%
MEDI-CAL MEDI-CAL $23.00 ↓ -73%
KAISER MEDI-CAL KAISER MEDI-CAL $23.00 ↓ -73%
FOUNDATION FOR MEDICAL CARE-ALL PLANS FOUNDATION FOR MEDICAL CARE-ALL PLANS $80.63 ↓ -7%
AETNA-ALL PLANS AETNA-ALL PLANS $84.56 ↓ -2%
PHCS MULTIPLAN-ALL PLANS PHCS MULTIPLAN-ALL PLANS $86.00 ↓ -0%
NETWORKS BY DESIGN-ALL PLANS NETWORKS BY DESIGN-ALL PLANS $86.00 ↓ -0%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $88.15 ↑ +2%
UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $89.86 ↑ +4%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $91.38 ↑ +6%
HEALTH MGMT NETWORK-ALL PLANS HEALTH MGMT NETWORK-ALL PLANS $91.38 ↑ +6%
CHOICE CARE-ALL PLANS CHOICE CARE-ALL PLANS $91.38 ↑ +6%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $166.35 ↑ +93%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $184.83 ↑ +114%
BLUE CROSS MCS-ALL OTHER PLANS BLUE CROSS MCS-ALL OTHER PLANS $221.80 ↑ +157%
UHC MCR ADV UHC MCR ADV $297.43 ↑ +244%

Visitor-reported prices

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Breath hydrogen test 91065 at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,780.80 not published
Antioch Medical Center ANTIOCH $1,780.80 not published
Redwood City Medical Center Redwood City $1,780.80 not published
Santa Clara Medical Center SANTA CLARA $1,780.80 not published
Fremont Medical Center FREMONT $1,780.80 not published
Sacramento Medical Center SACRAMENTO $1,780.80 not published
Oakland Medical Center Oakland $1,780.80 not published
Walnut Creek Medical Center WALNUT CREEK $1,780.80 not published

All California hospitals for this procedure →