Unlisted orl service/px at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$29.80
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.
$149.00
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.
$39.84 with KAISER MCR ADV vs $634.00 with BLUE CROSS MCS-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 →
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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 |
|---|---|---|---|
| KAISER MCR ADV | KAISER MCR ADV | $39.84 | ↑ +34% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $39.84 | ↑ +34% |
| UHC MCR ADV | UHC MCR ADV | $39.84 | ↑ +34% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $39.84 | ↑ +34% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $71.71 | ↑ +141% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $85.23 | ↑ +186% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $96.85 | ↑ +225% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $98.82 | ↑ +232% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $111.75 | ↑ +275% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $116.22 | ↑ +290% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $117.89 | ↑ +296% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $119.20 | ↑ +300% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $119.20 | ↑ +300% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $119.20 | ↑ +300% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $122.18 | ↑ +310% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $124.55 | ↑ +318% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $126.65 | ↑ +325% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $126.65 | ↑ +325% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $126.65 | ↑ +325% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $134.10 | ↑ +350% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $290.00 | ↑ +873% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $297.00 | ↑ +897% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $309.00 | ↑ +937% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $465.00 | ↑ +1460% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $527.00 | ↑ +1668% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $634.00 | ↑ +2028% |
Visitor-reported prices
Comments
Unlisted orl service/px at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $324.80 | not published |
| Antioch Medical Center | ANTIOCH | $324.80 | not published |
| Redwood City Medical Center | Redwood City | $324.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $324.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $99.32 | not published |
| Riverside Medical Center | RIVERSIDE | $99.32 | not published |
| Fremont Medical Center | FREMONT | $324.80 | not published |
| Panorama Medical Center | PANORAMA CITY | $99.32 | not published |