Cptr-asst dir ms px at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$78.75
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.
$525.00
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.
$22.34 with MEDI-CAL vs $281.79 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 | $22.34 | ↓ -72% |
| 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 | $129.01 | ↑ +64% |
| KAISER MCR ADV | KAISER MCR ADV | $129.01 | ↑ +64% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $129.01 | ↑ +64% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $129.01 | ↑ +64% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $141.91 | ↑ +80% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $154.81 | ↑ +97% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $154.81 | ↑ +97% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $177.40 | ↑ +125% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $184.48 | ↑ +134% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $193.15 | ↑ +145% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $193.15 | ↑ +145% |
| UHC JLL | UHC JLL | $193.15 | ↑ +145% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $193.15 | ↑ +145% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $208.58 | ↑ +165% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $211.03 | ↑ +168% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $220.42 | ↑ +180% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $281.79 | ↑ +258% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $281.79 | ↑ +258% |
Visitor-reported prices
Comments
Cptr-asst dir ms px at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Vallejo Medical Center | VALLEJO | $11,440.80 | not published |
| Fresno Medical Center | FRESNO | $11,440.80 | not published |
| Antioch Medical Center | ANTIOCH | $11,440.80 | not published |
| Redwood City Medical Center | Redwood City | $11,440.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $11,440.80 | not published |
| Fremont Medical Center | FREMONT | $11,440.80 | not published |
| Sacramento Medical Center | SACRAMENTO | $11,440.80 | not published |
| Oakland Medical Center | Oakland | $11,440.80 | not published |