Incision of bile duct at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$744.60
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.
$4,964.00
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.
$436.70 with PHCS-ALL PLANS vs $2,748.51 with BLUE CROSS NON MCS — 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 |
|---|---|---|---|
| PHCS-ALL PLANS | PHCS-ALL PLANS | $436.70 | ↓ -41% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $674.90 | ↓ -9% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $714.60 | ↓ -4% |
| MEDI-CAL | MEDI-CAL | $794.00 | ↑ +7% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $1,350.39 | ↑ +81% |
| KAISER MCR ADV | KAISER MCR ADV | $1,350.39 | ↑ +81% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1,350.39 | ↑ +81% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,350.39 | ↑ +81% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,485.43 | ↑ +99% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $1,620.47 | ↑ +118% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $1,620.47 | ↑ +118% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $1,655.64 | ↑ +122% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $1,818.05 | ↑ +144% |
| UHC JLL | UHC JLL | $1,818.05 | ↑ +144% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $1,818.05 | ↑ +144% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,818.05 | ↑ +144% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,885.04 | ↑ +153% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $1,916.23 | ↑ +157% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $1,931.06 | ↑ +159% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2,025.04 | ↑ +172% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $2,748.51 | ↑ +269% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $2,748.51 | ↑ +269% |
Visitor-reported prices
Comments
Incision of bile duct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | not published | $1,130.84 – $1,976.67 |
| Petaluma Valley Hospital | Petaluma | not published | $1,921.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $919.38 – $1,449.26 |
| Mark Twain Medical Center | San Andreas | not published | $919.38 – $919.38 |
| French Hospital | San Luis Obispo | not published | $919.38 – $1,449.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $919.38 – $3,492.72 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $919.38 – $3,492.72 |
| Queen of The Valley Medical Center | Napa | not published | $5,592.00 – $10,593.00 |