Prev med cnsl indiv apprx 45 at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$46.20
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.
$231.00
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.
$87.85 with BLUE CROSS EXCHANGE vs $504.83 with AH EMPLOYEE HEALTH PLAN - 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 EXCHANGE | BLUE CROSS EXCHANGE | $87.85 | ↑ +90% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $88.01 | ↑ +90% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $89.17 | ↑ +93% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $97.62 | ↑ +111% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $97.62 | ↑ +111% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $131.67 | ↑ +185% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $132.13 | ↑ +186% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $150.15 | ↑ +225% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $153.20 | ↑ +232% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $173.25 | ↑ +275% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $180.18 | ↑ +290% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $184.80 | ↑ +300% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $184.80 | ↑ +300% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $184.80 | ↑ +300% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $189.42 | ↑ +310% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $196.35 | ↑ +325% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $196.35 | ↑ +325% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $196.35 | ↑ +325% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $207.90 | ↑ +350% |
| KAISER MEDI-CAL | KAISER MEDI-CAL | $231.00 | ↑ +400% |
| MEDI-CAL | MEDI-CAL | $231.00 | ↑ +400% |
| KAISER MCR ADV | KAISER MCR ADV | $280.46 | ↑ +507% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $280.46 | ↑ +507% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $280.46 | ↑ +507% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $504.83 | ↑ +993% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 45 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sequoia Hospital | Redwood City | $21.48 | $25.37 – $236.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $43.89 | $51.68 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $43.05 | $287.00 – $287.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $152.46 | $231.00 – $693.00 |
| WILLITS HOSPITAL INC | Willits | $69.30 | $231.00 – $407.41 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $16.17 | $52.84 – $330.10 |
| SONORA COMMUNITY HOSPITAL | Sonora | $39.27 | $152.00 – $343.96 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $62.37 | $231.00 – $684.56 |