Ercp remove duct calculi 43264 at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$2,888.60
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.
$14,443.00
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 $12,276.55 with HEALTH MGMT NETWORK-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 | ↓ -98% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | ↓ -98% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $317.26 | ↓ -89% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $317.26 | ↓ -89% |
| KAISER MCR ADV | KAISER MCR ADV | $317.26 | ↓ -89% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $348.99 | ↓ -88% |
| KAISER MEDI-CAL | KAISER MEDI-CAL | $383.84 | ↓ -87% |
| MEDI-CAL | MEDI-CAL | $383.84 | ↓ -87% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $449.10 | ↓ -84% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $453.68 | ↓ -84% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $459.92 | ↓ -84% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $462.25 | ↓ -84% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $477.86 | ↓ -83% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $492.07 | ↓ -83% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $572.34 | ↓ -80% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $604.84 | ↓ -79% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $794.30 | ↓ -73% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $977.60 | ↓ -66% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $1,099.80 | ↓ -62% |
| UHC MCR ADV | UHC MCR ADV | $5,310.86 | ↑ +84% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $6,488.00 | ↑ +125% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $10,832.25 | ↑ +275% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $11,554.40 | ↑ +300% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $11,554.40 | ↑ +300% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $11,843.26 | ↑ +310% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $12,276.55 | ↑ +325% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $12,276.55 | ↑ +325% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $12,276.55 | ↑ +325% |
Visitor-reported prices
Comments
Ercp remove duct calculi 43264 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $4,060.00 | not published |
| St. John's Camarillo Hospital | Camarillo | $1,990.28 | $541.77 – $8,184.34 |
| Antioch Medical Center | ANTIOCH | $4,060.00 | not published |
| Redwood City Medical Center | Redwood City | $4,060.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $4,060.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $2,496.00 | not published |
| Riverside Medical Center | RIVERSIDE | $2,496.00 | not published |
| Fremont Medical Center | FREMONT | $4,060.00 | not published |