J-tube placement at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$467.40
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.
$3,116.00
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.
$43.45 with PHCS-ALL PLANS vs $7,052.00 with BLUE CROSS EXCHANGE — 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 | $43.45 | ↓ -91% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $67.15 | ↓ -86% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $71.10 | ↓ -85% |
| KAISER MCR ADV | KAISER MCR ADV | $128.35 | ↓ -73% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $128.35 | ↓ -73% |
| UHC MCR ADV | UHC MCR ADV | $128.35 | ↓ -73% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $128.35 | ↓ -73% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $128.35 | ↓ -73% |
| VA MCR - ALL OTHER PLANS | VA MCR - ALL OTHER PLANS | $128.35 | ↓ -73% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $141.19 | ↓ -70% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $154.02 | ↓ -67% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $154.02 | ↓ -67% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $170.38 | ↓ -64% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $183.54 | ↓ -61% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $189.05 | ↓ -60% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $189.05 | ↓ -60% |
| UHC JLL | UHC JLL | $189.05 | ↓ -60% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $189.05 | ↓ -60% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $197.15 | ↓ -58% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $229.20 | ↓ -51% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $242.22 | ↓ -48% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $310.05 | ↓ -34% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $310.05 | ↓ -34% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $1,001.70 | ↑ +114% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $1,364.76 | ↑ +192% |
| UMR UHC PPO | UMR UHC PPO | $1,416.85 | ↑ +203% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $1,558.20 | ↑ +233% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $1,669.50 | ↑ +257% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $2,003.40 | ↑ +329% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $7,052.00 | ↑ +1409% |
Visitor-reported prices
Comments
J-tube placement at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $250.42 | $97.28 – $368.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,938.70 | $2,138.67 – $7,049.69 |
| Bakersfield Memorial Hospital | Bakersfield | $2,907.01 | $240.83 – $7,841.79 |
| St. Joseph's Medical Center Stockton | Stockton | $2,215.59 | $768.60 – $3,074.40 |
| Mercy Medical Center Merced | Merced | $4,138.54 | $209.82 – $3,426.39 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $87.02 | $4.15 – $263.17 |
| HANFORD COMMUNITY HOSPITAL | Selma | $87.02 | $15.00 – $263.17 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $68.70 | $20.00 – $274.33 |