Established Patient Office Visit (level 1) at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$41.40
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.
$207.00
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.
$7.76 with KAISER MCR ADV vs $57.80 with BEECH STREET-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 |
|---|---|---|---|
| KAISER MCR ADV | KAISER MCR ADV | $7.76 | ↓ -81% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $7.76 | ↓ -81% |
| UHC MCR ADV | UHC MCR ADV | $7.76 | ↓ -81% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $7.76 | ↓ -81% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $8.54 | ↓ -79% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $9.61 | ↓ -77% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $11.10 | ↓ -73% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $11.24 | ↓ -73% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $11.31 | ↓ -73% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $11.40 | ↓ -72% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $11.84 | ↓ -71% |
| MEDI-CAL | MEDI-CAL | $12.00 | ↓ -71% |
| KAISER MEDI-CAL | KAISER MEDI-CAL | $12.00 | ↓ -71% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $20.15 | ↓ -51% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $24.80 | ↓ -40% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $25.91 | ↓ -37% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $26.25 | ↓ -37% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $27.32 | ↓ -34% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $27.90 | ↓ -33% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $30.36 | ↓ -27% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $36.43 | ↓ -12% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $51.00 | ↑ +23% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $54.40 | ↑ +31% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $54.40 | ↑ +31% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $55.76 | ↑ +35% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $57.80 | ↑ +40% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $57.80 | ↑ +40% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $57.80 | ↑ +40% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $500.91 | $12.38 – $204.18 |
| Banner Lassen Medical Center | Susanville | $290.87 | $19.80 – $150.35 |
| Arroyo Grande Hospital | Santa Maria | $145.10 | $17.21 – $232.00 |
| Mark Twain Medical Center | San Andreas | $51.95 | $3.11 – $12.00 |
| French Hospital | San Luis Obispo | $112.90 | $17.21 – $234.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $86.08 | $21.37 – $232.00 |
| Bakersfield Memorial Hospital | Bakersfield | $93.59 | $21.37 – $232.00 |
| Healdsburg Hospital | Healdsburg | $155.55 | not published |