Established Patient Office Visit (level 5) at ST HELENA HOSPITAL

10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082

Source: hospital's published price file ↗ · Published Jul 15, 2026 · Ingested Sep 16, 2026

$47.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$316.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$57.20 with MEDI-CAL vs $284.40 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 →

Payer
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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
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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 $57.20 ↑ +21%
CIGNA-ALL OTHER PLANS CIGNA-ALL OTHER PLANS $135.75 ↑ +186%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $135.99 ↑ +187%
UHC SELECT/SELECT PLUS UHC SELECT/SELECT PLUS $143.49 ↑ +203%
UHC OPTIONS PPO UHC OPTIONS PPO $143.49 ↑ +203%
UHC JLL UHC JLL $143.49 ↑ +203%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $143.49 ↑ +203%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $149.59 ↑ +216%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $163.19 ↑ +244%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $163.19 ↑ +244%
AETNA-ALL PLANS AETNA-ALL PLANS $168.34 ↑ +255%
PHCS-ALL PLANS PHCS-ALL PLANS $173.80 ↑ +267%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $194.47 ↑ +310%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $195.58 ↑ +313%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $206.69 ↑ +336%
BLUE CROSS NON MCS BLUE CROSS NON MCS $246.21 ↑ +419%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $246.21 ↑ +419%
HEALTH MANAGEMENT NETWORK-ALL PLANS HEALTH MANAGEMENT NETWORK-ALL PLANS $268.60 ↑ +467%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $284.40 ↑ +500%

Visitor-reported prices

visitor-reported
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Established Patient Office Visit (level 5) at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $822.12 $102.00 – $313.56
Arroyo Grande Hospital Santa Maria $254.66 $82.05 – $480.00
Mark Twain Medical Center San Andreas $317.69 $71.92 – $272.44
French Hospital San Luis Obispo $233.24 $82.05 – $470.40
Bakersfield Memorial Hospital Bakersfield $148.27 $101.90 – $232.00
Healdsburg Hospital Healdsburg $538.56 not published
Redwood Memorial Hospital Fortuna $161.16 not published
St. Joseph's Medical Center Stockton Stockton $143.18 $82.05 – $399.34

All California hospitals for this procedure →