Bone biopsy open superficial at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$78.45
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.
?
What you pay up front if you don't use insurance.
$523.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$35.00 with MEDI-CAL vs $528.35 with BLUE CROSS NON MCS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $35.00 | ↓ -55% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $39.05 | ↓ -50% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $60.35 | ↓ -23% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $63.90 | ↓ -19% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $137.09 | ↑ +75% |
| KAISER MCR ADV | KAISER MCR ADV | $137.09 | ↑ +75% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $137.09 | ↑ +75% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $137.09 | ↑ +75% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $150.80 | ↑ +92% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $164.51 | ↑ +110% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $164.51 | ↑ +110% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $179.36 | ↑ +129% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $191.78 | ↑ +144% |
| UHC JLL | UHC JLL | $191.78 | ↑ +144% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $191.78 | ↑ +144% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $191.78 | ↑ +144% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $196.04 | ↑ +150% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $329.14 | ↑ +320% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $395.47 | ↑ +404% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $417.92 | ↑ +433% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $528.35 | ↑ +573% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $528.35 | ↑ +573% |
Visitor-reported prices
Comments
Bone biopsy open superficial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Vallejo Medical Center | VALLEJO | not published | not published |
| St. John's Camarillo Hospital | Camarillo | $4,420.17 | $178.66 – $8,520.80 |
| Baldwin Park Medical Center | BALDWIN PARK | $4,529.20 | not published |
| Riverside Medical Center | RIVERSIDE | $4,529.20 | not published |
| Panorama Medical Center | PANORAMA CITY | $4,529.20 | not published |
| Petaluma Valley Hospital | Petaluma | $5,230.05 | $2,570.00 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $5,815.02 | $4,124.29 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,849.19 | $3,735.95 – $16,652.00 |