Established Patient Office Visit (level 5) at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$82.80
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.
$414.00
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.
$57.20 with KAISER MEDI-CAL vs $307.70 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 |
|---|---|---|---|
| KAISER MEDI-CAL | KAISER MEDI-CAL | $57.20 | ↓ -31% |
| MEDI-CAL | MEDI-CAL | $57.20 | ↓ -31% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | ↓ -20% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | ↓ -20% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $111.65 | ↑ +35% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $126.33 | ↑ +53% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $126.33 | ↑ +53% |
| UHC MCR ADV | UHC MCR ADV | $126.33 | ↑ +53% |
| KAISER MCR ADV | KAISER MCR ADV | $126.33 | ↑ +53% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $135.75 | ↑ +64% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $137.67 | ↑ +66% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $137.92 | ↑ +67% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $138.11 | ↑ +67% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $138.96 | ↑ +68% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $139.73 | ↑ +69% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $143.49 | ↑ +73% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $180.65 | ↑ +118% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $183.30 | ↑ +121% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $184.06 | ↑ +122% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $225.60 | ↑ +172% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $253.80 | ↑ +207% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $271.50 | ↑ +228% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $289.60 | ↑ +250% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $289.60 | ↑ +250% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $296.84 | ↑ +259% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $307.70 | ↑ +272% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $307.70 | ↑ +272% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $307.70 | ↑ +272% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $822.12 | $102.00 – $313.56 |
| Arroyo Grande Hospital | Santa Maria | $254.66 | $82.05 – $480.00 |
| Mark Twain Medical Center | San Andreas | $317.69 | $71.92 – $272.44 |
| French Hospital | San Luis Obispo | $233.24 | $82.05 – $470.40 |
| Bakersfield Memorial Hospital | Bakersfield | $148.27 | $101.90 – $232.00 |
| Healdsburg Hospital | Healdsburg | $538.56 | not published |
| Redwood Memorial Hospital | Fortuna | $161.16 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $143.18 | $82.05 – $399.34 |