Established Patient Office Visit (level 1) at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$10.20
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.
$68.00
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.
$8.32 with BLUE SHIELD BH MCR ADV vs $61.20 with GALAXY NETWORK-ALL PLANS — 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 |
|---|---|---|---|
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $8.32 | ↓ -18% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $8.32 | ↓ -18% |
| UHC MCR ADV | UHC MCR ADV | $8.32 | ↓ -18% |
| VA MCR - ALL OTHER PLANS | VA MCR - ALL OTHER PLANS | $8.32 | ↓ -18% |
| KAISER MCR ADV | KAISER MCR ADV | $8.32 | ↓ -18% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $8.32 | ↓ -18% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $9.15 | ↓ -10% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $9.98 | ↓ -2% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $9.98 | ↓ -2% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $11.00 | ↑ +8% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $11.24 | ↑ +10% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $11.84 | ↑ +16% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $11.84 | ↑ +16% |
| UHC JLL | UHC JLL | $11.84 | ↑ +16% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $11.84 | ↑ +16% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $11.90 | ↑ +17% |
| MEDI-CAL | MEDI-CAL | $12.00 | ↑ +18% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $14.52 | ↑ +42% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $17.00 | ↑ +67% |
| VA MEDI-CAL | VA MEDI-CAL | $17.21 | ↑ +69% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $18.00 | ↑ +76% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $30.60 | ↑ +200% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $31.55 | ↑ +209% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $32.03 | ↑ +214% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $41.69 | ↑ +309% |
| UMR UHC PPO | UMR UHC PPO | $43.28 | ↑ +324% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $45.07 | ↑ +342% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $47.60 | ↑ +367% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $47.78 | ↑ +368% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $47.78 | ↑ +368% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $51.00 | ↑ +400% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $61.20 | ↑ +500% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $500.91 | $12.38 – $204.18 |
| Banner Lassen Medical Center | Susanville | $290.87 | $19.80 – $150.35 |
| Arroyo Grande Hospital | Santa Maria | $145.10 | $17.21 – $232.00 |
| Mark Twain Medical Center | San Andreas | $51.95 | $3.11 – $12.00 |
| French Hospital | San Luis Obispo | $112.90 | $17.21 – $234.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $86.08 | $21.37 – $232.00 |
| Bakersfield Memorial Hospital | Bakersfield | $93.59 | $21.37 – $232.00 |
| Healdsburg Hospital | Healdsburg | $155.55 | not published |