Peritoneogram rs&i 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

$17.00

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.

$85.00

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.

$21.99 with KAISER MCR ADV vs $637.76 with UHC ALL PAYER-ALL OTHER 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 →

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
KAISER MCR ADV KAISER MCR ADV $21.99 ↑ +29%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $21.99 ↑ +29%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $21.99 ↑ +29%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $24.19 ↑ +42%
CIGNA-ALL PLANS CIGNA-ALL PLANS $28.40 ↑ +67%
UHC JLL CSP 1/1/25 UHC JLL CSP 1/1/25 $28.94 ↑ +70%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $32.04 ↑ +88%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $32.55 ↑ +91%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $33.32 ↑ +96%
MEDI-CAL MEDI-CAL $34.53 ↑ +103%
KAISER MEDI-CAL KAISER MEDI-CAL $34.53 ↑ +103%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $35.21 ↑ +107%
MENDOCINO LCC DISTRICT-ALL PLANS MENDOCINO LCC DISTRICT-ALL PLANS $55.25 ↑ +225%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $68.00 ↑ +300%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $76.50 ↑ +350%
AETNA-ALL PLANS AETNA-ALL PLANS $210.61 ↑ +1139%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $416.73 ↑ +2351%
BLUE CROSS MCS-ALL OTHER PLANS BLUE CROSS MCS-ALL OTHER PLANS $500.07 ↑ +2842%
UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $637.76 ↑ +3652%

Visitor-reported prices

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Peritoneogram rs&i at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,758.40 $731.00 – $731.00
Antioch Medical Center ANTIOCH $1,758.40 $731.00 – $731.00
Redwood City Medical Center Redwood City $1,758.40 $731.00 – $731.00
Santa Clara Medical Center SANTA CLARA $1,758.40 $731.00 – $731.00
Baldwin Park Medical Center BALDWIN PARK $1,435.20 $498.00 – $498.00
Riverside Medical Center RIVERSIDE $1,435.20 $498.00 – $498.00
Fremont Medical Center FREMONT $1,758.40 $731.00 – $731.00
Banner Lassen Medical Center Susanville $409.34 $56.97 – $605.28

All California hospitals for this procedure →