Established Patient Office Visit (level 4) at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$67.20
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.
$336.00
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.
$37.50 with KAISER MEDI-CAL vs $220.15 with CHOICE CARE-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 MEDI-CAL | KAISER MEDI-CAL | $37.50 | ↓ -44% |
| MEDI-CAL | MEDI-CAL | $37.50 | ↓ -44% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | ↓ -1% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | ↓ -1% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $79.01 | ↑ +18% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $84.93 | ↑ +26% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $84.93 | ↑ +26% |
| KAISER MCR ADV | KAISER MCR ADV | $84.93 | ↑ +26% |
| UHC MCR ADV | UHC MCR ADV | $84.93 | ↑ +26% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $93.42 | ↑ +39% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $96.01 | ↑ +43% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $97.77 | ↑ +45% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $98.50 | ↑ +47% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $98.68 | ↑ +47% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $99.97 | ↑ +49% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $101.59 | ↑ +51% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $121.45 | ↑ +81% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $123.50 | ↑ +84% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $123.74 | ↑ +84% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $152.00 | ↑ +126% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $171.00 | ↑ +154% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $194.25 | ↑ +189% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $207.20 | ↑ +208% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $207.20 | ↑ +208% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $212.38 | ↑ +216% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $220.15 | ↑ +228% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $220.15 | ↑ +228% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $220.15 | ↑ +228% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,281.82 | $61.88 – $475.30 |
| Arroyo Grande Hospital | Santa Maria | $1,129.07 | $53.79 – $381.00 |
| Mark Twain Medical Center | San Andreas | $212.46 | $55.63 – $210.70 |
| French Hospital | San Luis Obispo | $784.40 | $53.79 – $373.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $66.81 – $303.20 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $66.81 – $314.82 |
| St. Joseph's Behavioral Health Center | Stockton | $69.67 | $12.20 – $105.53 |