Aco cmplx chron care without pt visit, 60 min 99487aco at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$29.55
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.
$197.00
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.
$61.62 with UHC SELECT/SELECT PLUS vs $235.80 with UHC MCR ADV — 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 |
|---|---|---|---|
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $61.62 | ↑ +109% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $62.55 | ↑ +112% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $63.98 | ↑ +117% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $64.50 | ↑ +118% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $65.47 | ↑ +122% |
| UHC JLL | UHC JLL | $66.37 | ↑ +125% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $67.42 | ↑ +128% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $67.42 | ↑ +128% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $72.28 | ↑ +145% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $76.45 | ↑ +159% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $80.62 | ↑ +173% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $85.22 | ↑ +188% |
| KAISER MCR ADV | KAISER MCR ADV | $85.40 | ↑ +189% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.40 | ↑ +189% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $85.40 | ↑ +189% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $85.40 | ↑ +189% |
| UMR UHC PPO | UMR UHC PPO | $88.47 | ↑ +199% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $90.35 | ↑ +206% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $92.13 | ↑ +212% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $93.94 | ↑ +218% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $97.30 | ↑ +229% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $102.36 | ↑ +246% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $102.36 | ↑ +246% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $102.48 | ↑ +247% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $104.25 | ↑ +253% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $118.15 | ↑ +300% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $125.10 | ↑ +323% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $125.10 | ↑ +323% |
| VA MEDI-CAL | VA MEDI-CAL | $139.00 | ↑ +370% |
| MEDI-CAL | MEDI-CAL | $197.00 | ↑ +567% |
| VA MCR - ALL OTHER PLANS | VA MCR - ALL OTHER PLANS | $235.80 | ↑ +698% |
| UHC MCR ADV | UHC MCR ADV | $235.80 | ↑ +698% |
Visitor-reported prices
Comments
Aco cmplx chron care without pt visit, 60 min 99487aco at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Vallejo Medical Center | VALLEJO | $208.88 | not published |
| Redwood City Medical Center | Redwood City | $208.88 | not published |
| Santa Clara Medical Center | SANTA CLARA | $208.88 | not published |
| Sacramento Medical Center | SACRAMENTO | $208.88 | not published |
| Oakland Medical Center | Oakland | $208.88 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $208.88 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $65.17 | $1.48 – $442.00 |
| San Leandro Medical Center | SAN LEANDRO | $208.88 | not published |