Impact tooth remov part bony at UKIAH ADVENTIST HOSPITAL

275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676

Source: hospital's published price file ↗ · Published May 24, 2026 · Ingested Sep 16, 2026

$137.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$686.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$260.89 with BLUE CROSS EXCHANGE vs $686.00 with MEDI-CAL — 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 →

Payer
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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
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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 EXCHANGE BLUE CROSS EXCHANGE $260.89 ↑ +90%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $261.37 ↑ +91%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $264.80 ↑ +93%
KAISER MCR ADV KAISER MCR ADV $280.46 ↑ +104%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $280.46 ↑ +104%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $280.46 ↑ +104%
BLUE CROSS MCS-ALL OTHER PLANS BLUE CROSS MCS-ALL OTHER PLANS $289.90 ↑ +111%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $289.90 ↑ +111%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $391.02 ↑ +185%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $392.39 ↑ +186%
MENDOCINO LCC DISTRICT-ALL PLANS MENDOCINO LCC DISTRICT-ALL PLANS $445.90 ↑ +225%
AETNA-ALL PLANS AETNA-ALL PLANS $454.96 ↑ +232%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $504.83 ↑ +268%
FOUNDATION FOR MEDICAL CARE-ALL PLANS FOUNDATION FOR MEDICAL CARE-ALL PLANS $514.50 ↑ +275%
CIGNA-ALL PLANS CIGNA-ALL PLANS $535.08 ↑ +290%
PHCS MULTIPLAN-ALL PLANS PHCS MULTIPLAN-ALL PLANS $548.80 ↑ +300%
NETWORKS BY DESIGN-ALL PLANS NETWORKS BY DESIGN-ALL PLANS $548.80 ↑ +300%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $548.80 ↑ +300%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $562.52 ↑ +310%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $583.10 ↑ +325%
CHOICE CARE-ALL PLANS CHOICE CARE-ALL PLANS $583.10 ↑ +325%
HEALTH MGMT NETWORK-ALL PLANS HEALTH MGMT NETWORK-ALL PLANS $583.10 ↑ +325%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $617.40 ↑ +350%
KAISER MEDI-CAL KAISER MEDI-CAL $686.00 ↑ +400%
MEDI-CAL MEDI-CAL $686.00 ↑ +400%

Visitor-reported prices

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Impact tooth remov part bony at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $4,099.20 not published
Antioch Medical Center ANTIOCH $4,099.20 not published
Redwood City Medical Center Redwood City $4,099.20 not published
Santa Clara Medical Center SANTA CLARA $4,099.20 not published
Fremont Medical Center FREMONT $4,099.20 not published
Sacramento Medical Center SACRAMENTO $4,099.20 not published
Oakland Medical Center Oakland $4,099.20 not published
Walnut Creek Medical Center WALNUT CREEK $4,099.20 not published

All California hospitals for this procedure →