Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution 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

$4.80

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.

$24.00

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.

$0.01 with AETNA-ALL PLANS vs $22.66 with KAISER 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
AETNA-ALL PLANS AETNA-ALL PLANS $0.01 ↓ -100%
UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $0.01 ↓ -100%
CIGNA-ALL PLANS CIGNA-ALL PLANS $0.01 ↓ -100%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $0.32 ↓ -93%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $9.14 ↑ +90%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $9.26 ↑ +93%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $10.14 ↑ +111%
BLUE CROSS MCS-ALL OTHER PLANS BLUE CROSS MCS-ALL OTHER PLANS $10.14 ↑ +111%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $13.68 ↑ +185%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $13.73 ↑ +186%
MENDOCINO LCC DISTRICT-ALL PLANS MENDOCINO LCC DISTRICT-ALL PLANS $14.73 ↑ +207%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $15.86 ↑ +230%
FOUNDATION FOR MEDICAL CARE-ALL PLANS FOUNDATION FOR MEDICAL CARE-ALL PLANS $18.00 ↑ +275%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $18.13 ↑ +278%
UHC JLL CSP 1/1/25 UHC JLL CSP 1/1/25 $18.99 ↑ +296%
NETWORKS BY DESIGN-ALL PLANS NETWORKS BY DESIGN-ALL PLANS $19.20 ↑ +300%
PHCS MULTIPLAN-ALL PLANS PHCS MULTIPLAN-ALL PLANS $19.20 ↑ +300%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $19.68 ↑ +310%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $20.39 ↑ +325%
HEALTH MGMT NETWORK-ALL PLANS HEALTH MGMT NETWORK-ALL PLANS $20.40 ↑ +325%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $20.40 ↑ +325%
CHOICE CARE-ALL PLANS CHOICE CARE-ALL PLANS $20.40 ↑ +325%
MEDI-CAL MEDI-CAL $22.66 ↑ +372%
KAISER MEDI-CAL KAISER MEDI-CAL $22.66 ↑ +372%

Visitor-reported prices

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $40.54 $0.01 – $0.01
St. John's Camarillo Hospital Camarillo $57.38 $35.37 – $102.18
Antioch Medical Center ANTIOCH $40.54 $0.01 – $0.01
Redwood City Medical Center Redwood City $40.54 $0.01 – $0.01
Santa Clara Medical Center SANTA CLARA $40.54 $0.01 – $0.01
Baldwin Park Medical Center BALDWIN PARK $37.65 $0.01 – $0.01
Riverside Medical Center RIVERSIDE $37.65 $0.01 – $0.01
Fremont Medical Center FREMONT $40.54 $0.01 – $0.01

All California hospitals for this procedure →