Annual Physical, New Patient (age 18-39) at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$44.70
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.
$298.00
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.
$80.24 with UHC SELECT/SELECT PLUS vs $298.00 with 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 →
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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 | $80.24 | ↑ +80% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $81.45 | ↑ +82% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $83.98 | ↑ +88% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $85.25 | ↑ +91% |
| UHC JLL | UHC JLL | $86.43 | ↑ +93% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $90.97 | ↑ +104% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $94.12 | ↑ +111% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $99.55 | ↑ +123% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $104.98 | ↑ +135% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $110.97 | ↑ +148% |
| UMR UHC PPO | UMR UHC PPO | $115.21 | ↑ +158% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $115.39 | ↑ +158% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $117.65 | ↑ +163% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $119.97 | ↑ +168% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $120.69 | ↑ +170% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $126.70 | ↑ +183% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $133.29 | ↑ +198% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $133.29 | ↑ +198% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $135.75 | ↑ +204% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $148.42 | ↑ +232% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $153.85 | ↑ +244% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $162.90 | ↑ +264% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $162.90 | ↑ +264% |
| VA MEDI-CAL | VA MEDI-CAL | $181.00 | ↑ +305% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $208.60 | ↑ +367% |
| MEDI-CAL | MEDI-CAL | $298.00 | ↑ +567% |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 18-39) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $180.77 | $114.10 – $347.49 |
| St. Mary Medical Center | Long Beach | $183.61 | $49.50 – $570.50 |
| Glendale Memorial Hospital Health Center | Glendale | $67.49 | $51.75 – $482.64 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $48.83 | $2.81 – $675.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $45.41 | $105.01 – $401.52 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $35.85 | $75.38 – $336.99 |