Xe133 xenon 10mci 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

$673.40

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.

$3,367.00

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.

$131.64 with BLUE CROSS EXCHANGE vs $3,367.00 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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $131.64 ↓ -80%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $146.27 ↓ -78%
BLUE CROSS MCS-ALL OTHER PLANS BLUE CROSS MCS-ALL OTHER PLANS $175.52 ↓ -74%
UHC JLL CSP 1/1/25 UHC JLL CSP 1/1/25 $706.27 ↑ +5%
UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $833.88 ↑ +24%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $1,282.83 ↑ +91%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $1,299.66 ↑ +93%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $1,750.84 ↑ +160%
AETNA-ALL PLANS AETNA-ALL PLANS $1,914.24 ↑ +184%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $1,925.92 ↑ +186%
MENDOCINO LCC DISTRICT-ALL PLANS MENDOCINO LCC DISTRICT-ALL PLANS $2,188.55 ↑ +225%
FOUNDATION FOR MEDICAL CARE-ALL PLANS FOUNDATION FOR MEDICAL CARE-ALL PLANS $2,525.25 ↑ +275%
CIGNA-ALL PLANS CIGNA-ALL PLANS $2,626.26 ↑ +290%
PHCS MULTIPLAN-ALL PLANS PHCS MULTIPLAN-ALL PLANS $2,693.60 ↑ +300%
NETWORKS BY DESIGN-ALL PLANS NETWORKS BY DESIGN-ALL PLANS $2,693.60 ↑ +300%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $2,693.60 ↑ +300%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $2,760.94 ↑ +310%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $2,861.95 ↑ +325%
CHOICE CARE-ALL PLANS CHOICE CARE-ALL PLANS $2,861.95 ↑ +325%
HEALTH MGMT NETWORK-ALL PLANS HEALTH MGMT NETWORK-ALL PLANS $2,861.95 ↑ +325%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $3,030.30 ↑ +350%
MEDI-CAL MEDI-CAL $3,367.00 ↑ +400%
KAISER MEDI-CAL KAISER MEDI-CAL $3,367.00 ↑ +400%

Visitor-reported prices

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Xe133 xenon 10mci at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,003.42 $387.00 – $387.00
St. John's Camarillo Hospital Camarillo $136.66 $37.62 – $405.25
Antioch Medical Center ANTIOCH $1,003.42 $387.00 – $387.00
Redwood City Medical Center Redwood City $1,003.42 $387.00 – $387.00
Santa Clara Medical Center SANTA CLARA $1,003.42 $387.00 – $387.00
Baldwin Park Medical Center BALDWIN PARK $931.75 $345.00 – $345.00
Riverside Medical Center RIVERSIDE $931.75 $345.00 – $345.00
Fremont Medical Center FREMONT $1,003.42 $387.00 – $387.00

All California hospitals for this procedure →