Initial hosp neonate 28 d/less than not critically ill 99477 at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$163.80
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.
$819.00
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 NON-MCS vs $706.50 with THREE RIVERS-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 NON-MCS | BLUE CROSS NON-MCS | $66.41 | ↓ -59% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | ↓ -59% |
| KAISER MEDI-CAL | KAISER MEDI-CAL | $265.48 | ↑ +62% |
| MEDI-CAL | MEDI-CAL | $265.48 | ↑ +62% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $280.46 | ↑ +71% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $280.46 | ↑ +71% |
| KAISER MCR ADV | KAISER MCR ADV | $280.46 | ↑ +71% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $298.54 | ↑ +82% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $299.09 | ↑ +83% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $303.01 | ↑ +85% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $326.81 | ↑ +100% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $361.40 | ↑ +121% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $424.81 | ↑ +159% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $424.85 | ↑ +159% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $432.73 | ↑ +164% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $432.87 | ↑ +164% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $449.61 | ↑ +174% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $510.25 | ↑ +212% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $588.75 | ↑ +259% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $628.00 | ↑ +283% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $628.00 | ↑ +283% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $628.00 | ↑ +283% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $643.70 | ↑ +293% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $667.25 | ↑ +307% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $667.25 | ↑ +307% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $667.25 | ↑ +307% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $706.50 | ↑ +331% |
Visitor-reported prices
Comments
Initial hosp neonate 28 d/less than not critically ill 99477 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $155.61 | $9.87 – $622.20 |
| HANFORD COMMUNITY HOSPITAL | Selma | $155.61 | $139.00 – $628.33 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $122.85 | $265.48 – $630.60 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $540.54 | $265.48 – $457.79 |
| WILLITS HOSPITAL INC | Willits | $245.70 | $265.48 – $631.59 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $59.15 | $152.00 – $622.20 |
| SONORA COMMUNITY HOSPITAL | Sonora | $139.23 | $152.00 – $631.59 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $221.13 | $265.48 – $630.60 |