Annual Physical, New Patient (age 40-64) at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$44.85
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.
$299.00
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.
$106.70 with PHCS-ALL PLANS vs $299.00 with VA 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 |
|---|---|---|---|
| PHCS-ALL PLANS | PHCS-ALL PLANS | $106.70 | ↑ +138% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $132.55 | ↑ +196% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $134.55 | ↑ +200% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $135.80 | ↑ +203% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $138.74 | ↑ +209% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $140.83 | ↑ +214% |
| UHC JLL | UHC JLL | $142.77 | ↑ +218% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $145.50 | ↑ +224% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $146.50 | ↑ +227% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $150.28 | ↑ +235% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $151.90 | ↑ +239% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $155.20 | ↑ +246% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $155.34 | ↑ +246% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $164.90 | ↑ +268% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $174.60 | ↑ +289% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $183.32 | ↑ +309% |
| UMR UHC PPO | UMR UHC PPO | $190.31 | ↑ +324% |
| MEDI-CAL | MEDI-CAL | $194.00 | ↑ +333% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $198.18 | ↑ +342% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $209.30 | ↑ +367% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $220.18 | ↑ +391% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $220.18 | ↑ +391% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $224.25 | ↑ +400% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $245.18 | ↑ +447% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $269.10 | ↑ +500% |
| VA MEDI-CAL | VA MEDI-CAL | $299.00 | ↑ +567% |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 40-64) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $197.37 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $180.77 | $132.20 – $347.49 |
| St. Mary Medical Center | Long Beach | $132.87 | $77.25 – $661.00 |
| Glendale Memorial Hospital Health Center | Glendale | $105.30 | $80.75 – $559.21 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $60.04 | $3.41 – $675.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $59.28 | $128.92 – $524.16 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $46.80 | $92.55 – $439.92 |