Established Patient Office Visit (level 3) at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$21.60
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.
$144.00
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.
$24.00 with MEDI-CAL vs $129.60 with THREE RIVERS-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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $24.00 | ↑ +11% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $62.21 | ↑ +188% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $62.26 | ↑ +188% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $66.05 | ↑ +206% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $66.05 | ↑ +206% |
| UHC JLL | UHC JLL | $66.05 | ↑ +206% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $66.05 | ↑ +206% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $68.43 | ↑ +217% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $74.65 | ↑ +246% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $74.65 | ↑ +246% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $77.28 | ↑ +258% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $79.20 | ↑ +267% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $88.96 | ↑ +312% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $121.41 | ↑ +462% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $121.41 | ↑ +462% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $122.30 | ↑ +466% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $122.40 | ↑ +467% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $129.25 | ↑ +498% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $129.60 | ↑ +500% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $642.42 | $59.21 – $226.00 |
| Banner Lassen Medical Center | Susanville | $1,479.42 | $39.60 – $354.05 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $34.43 – $351.00 |
| Mark Twain Medical Center | San Andreas | $138.53 | $36.22 – $137.20 |
| French Hospital | San Luis Obispo | $149.36 | $34.43 – $343.98 |
| Bakersfield Memorial Hospital | Bakersfield | $107.54 | $42.76 – $232.00 |
| Healdsburg Hospital | Healdsburg | $302.43 | not published |
| Redwood Memorial Hospital | Fortuna | $161.16 | not published |