Arthrotomy hip w/drainage at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$538.95
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.
$3,593.00
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.
$70.00 with MEDI-CAL vs $2,159.47 with BLUE CROSS NON MCS — 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $70.00 | ↓ -87% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $268.95 | ↓ -50% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $415.65 | ↓ -23% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $440.10 | ↓ -18% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $944.80 | ↑ +75% |
| KAISER MCR ADV | KAISER MCR ADV | $944.80 | ↑ +75% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $944.80 | ↑ +75% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $944.80 | ↑ +75% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,039.28 | ↑ +93% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $1,133.76 | ↑ +110% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $1,133.76 | ↑ +110% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $1,148.09 | ↑ +113% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,235.42 | ↑ +129% |
| UHC JLL | UHC JLL | $1,235.42 | ↑ +129% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $1,235.42 | ↑ +129% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $1,235.42 | ↑ +129% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $1,351.06 | ↑ +151% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,356.85 | ↑ +152% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $1,564.57 | ↑ +190% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,653.41 | ↑ +207% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $2,159.47 | ↑ +301% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $2,159.47 | ↑ +301% |
Visitor-reported prices
Comments
Arthrotomy hip w/drainage at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $615.60 | $27.12 – $15,398.96 |
| HANFORD COMMUNITY HOSPITAL | Selma | $615.60 | $590.47 – $9,332.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $486.00 | $118.02 – $9,332.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,138.40 | $70.00 – $1,503.37 |
| WILLITS HOSPITAL INC | Willits | $972.00 | $65.00 – $1,962.85 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $226.80 | $40.00 – $19,141.34 |
| SONORA COMMUNITY HOSPITAL | Sonora | $550.80 | $590.47 – $1,962.85 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $874.80 | $65.00 – $1,926.51 |