Duodenal exclusion at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$1,187.00
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.
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What you pay up front if you don't use insurance.
$5,935.00
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.
$66.41 with BLUE CROSS MCS-ALL OTHER PLANS vs $5,341.50 with THREE RIVERS-ALL 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 |
|---|---|---|---|
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | ↓ -94% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | ↓ -94% |
| KAISER MEDI-CAL | KAISER MEDI-CAL | $75.00 | ↓ -94% |
| MEDI-CAL | MEDI-CAL | $75.00 | ↓ -94% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $1,598.39 | ↑ +35% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1,598.39 | ↑ +35% |
| KAISER MCR ADV | KAISER MCR ADV | $1,598.39 | ↑ +35% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,611.78 | ↑ +36% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,758.23 | ↑ +48% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $2,163.87 | ↑ +82% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $2,259.56 | ↑ +90% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $2,285.70 | ↑ +93% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $2,295.66 | ↑ +93% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $2,328.85 | ↑ +96% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $2,385.19 | ↑ +101% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2,387.85 | ↑ +101% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $3,857.75 | ↑ +225% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $4,748.00 | ↑ +300% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $5,341.50 | ↑ +350% |
Visitor-reported prices
Comments
Duodenal exclusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,127.65 | $52.36 – $3,065.57 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,127.65 | $212.21 – $3,065.57 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $890.25 | $1,059.94 – $3,195.52 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $3,917.10 | $45.00 – $2,428.60 |
| WILLITS HOSPITAL INC | Willits | $1,780.50 | $75.00 – $3,080.96 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $415.45 | $75.00 – $3,065.57 |
| SONORA COMMUNITY HOSPITAL | Sonora | $1,008.95 | $75.00 – $3,080.96 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,602.45 | $45.00 – $3,195.52 |