Bx of breast open 19101 at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$1,146.40
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.
$5,732.00
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.
$25.00 with MEDI-CAL vs $6,488.00 with BLUE CROSS EXCHANGE — 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $25.00 | ↓ -98% |
| KAISER MEDI-CAL | KAISER MEDI-CAL | $25.00 | ↓ -98% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | ↓ -94% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | ↓ -94% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $174.60 | ↓ -85% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $214.13 | ↓ -81% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $214.13 | ↓ -81% |
| KAISER MCR ADV | KAISER MCR ADV | $214.13 | ↓ -81% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $235.54 | ↓ -79% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $271.10 | ↓ -76% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $282.80 | ↓ -75% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $293.82 | ↓ -74% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $306.21 | ↓ -73% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $311.99 | ↓ -73% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $422.91 | ↓ -63% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $428.46 | ↓ -63% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $495.95 | ↓ -57% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $610.40 | ↓ -47% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $686.70 | ↓ -40% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $832.50 | ↓ -27% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $888.00 | ↓ -23% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $888.00 | ↓ -23% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $910.20 | ↓ -21% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $943.50 | ↓ -18% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $943.50 | ↓ -18% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $943.50 | ↓ -18% |
| UHC MCR ADV | UHC MCR ADV | $5,393.45 | ↑ +370% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $6,488.00 | ↑ +466% |
Visitor-reported prices
Comments
Bx of breast open 19101 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $11,121.60 | not published |
| Antioch Medical Center | ANTIOCH | $11,121.60 | not published |
| Redwood City Medical Center | Redwood City | $11,121.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $11,121.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $4,992.00 | not published |
| Riverside Medical Center | RIVERSIDE | $4,992.00 | not published |
| Fremont Medical Center | FREMONT | $11,121.60 | not published |
| Panorama Medical Center | PANORAMA CITY | $4,992.00 | not published |