Initial nursing facility care/day low severity 99304 at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$26.70
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.
$178.00
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.
$37.80 with MEDI-CAL vs $160.20 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 | $37.80 | ↑ +42% |
| KAISER MCR ADV | KAISER MCR ADV | $78.56 | ↑ +194% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $78.56 | ↑ +194% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $78.56 | ↑ +194% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $78.56 | ↑ +194% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $86.42 | ↑ +224% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $94.27 | ↑ +253% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $94.27 | ↑ +253% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $97.90 | ↑ +267% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $109.02 | ↑ +308% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $110.27 | ↑ +313% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $112.34 | ↑ +321% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $115.21 | ↑ +331% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $116.16 | ↑ +335% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $116.16 | ↑ +335% |
| UHC JLL | UHC JLL | $116.16 | ↑ +335% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $116.16 | ↑ +335% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $124.10 | ↑ +365% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $124.10 | ↑ +365% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $138.49 | ↑ +419% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $151.30 | ↑ +467% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $160.20 | ↑ +500% |
Visitor-reported prices
Comments
Initial nursing facility care/day low severity 99304 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $43.96 | $17.08 – $64.68 |
| Healdsburg Hospital | Healdsburg | $143.31 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $37.43 | $2.55 – $119.34 |
| HANFORD COMMUNITY HOSPITAL | Selma | $37.43 | $37.80 – $118.28 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $29.55 | $37.80 – $124.96 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $130.02 | $37.80 – $118.28 |
| WILLITS HOSPITAL INC | Willits | $59.10 | $37.80 – $116.16 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $14.21 | $37.80 – $144.66 |