X-ray exam entire spi 4/5 vw 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

$208.80

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.

$1,044.00

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.

$8.88 with BLUE SHIELD EPN-ALL OTHER PLANS vs $887.40 with BEECH STREET-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 →

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
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $8.88 ↓ -96%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $9.39 ↓ -96%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $17.40 ↓ -92%
KAISER MCR ADV KAISER MCR ADV $17.40 ↓ -92%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $17.40 ↓ -92%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $19.14 ↓ -91%
CIGNA-ALL PLANS CIGNA-ALL PLANS $22.51 ↓ -89%
UHC JLL CSP 1/1/25 UHC JLL CSP 1/1/25 $22.80 ↓ -89%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $25.35 ↓ -88%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $25.75 ↓ -88%
MENDOCINO LCC DISTRICT-ALL PLANS MENDOCINO LCC DISTRICT-ALL PLANS $44.20 ↓ -79%
AETNA-ALL PLANS AETNA-ALL PLANS $46.01 ↓ -78%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $54.40 ↓ -74%
MEDI-CAL MEDI-CAL $61.12 ↓ -71%
KAISER MEDI-CAL KAISER MEDI-CAL $61.12 ↓ -71%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $61.20 ↓ -71%
UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $100.67 ↓ -52%
UHC MCR ADV UHC MCR ADV $144.01 ↓ -31%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $559.86 ↑ +168%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $622.07 ↑ +198%
BLUE CROSS MCS-ALL OTHER PLANS BLUE CROSS MCS-ALL OTHER PLANS $746.47 ↑ +258%
FOUNDATION FOR MEDICAL CARE-ALL PLANS FOUNDATION FOR MEDICAL CARE-ALL PLANS $783.00 ↑ +275%
NETWORKS BY DESIGN-ALL PLANS NETWORKS BY DESIGN-ALL PLANS $835.20 ↑ +300%
PHCS MULTIPLAN-ALL PLANS PHCS MULTIPLAN-ALL PLANS $835.20 ↑ +300%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $856.08 ↑ +310%
HEALTH MGMT NETWORK-ALL PLANS HEALTH MGMT NETWORK-ALL PLANS $887.40 ↑ +325%
CHOICE CARE-ALL PLANS CHOICE CARE-ALL PLANS $887.40 ↑ +325%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $887.40 ↑ +325%

Visitor-reported prices

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X-ray exam entire spi 4/5 vw at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $733.60 $142.00 – $142.00
St. John's Camarillo Hospital Camarillo $254.48 $92.47 – $527.07
Antioch Medical Center ANTIOCH $733.60 $142.00 – $142.00
Redwood City Medical Center Redwood City $733.60 $142.00 – $142.00
Santa Clara Medical Center SANTA CLARA $733.60 $142.00 – $142.00
Baldwin Park Medical Center BALDWIN PARK $936.00 $96.00 – $96.00
Riverside Medical Center RIVERSIDE $936.00 $96.00 – $96.00
Fremont Medical Center FREMONT $733.60 $142.00 – $142.00

All California hospitals for this procedure →