Lap gastric bypass/roux-en-y at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$939.15
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.
$6,261.00
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.
$155.00 with MEDI-CAL vs $5,634.90 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 | $155.00 | ↓ -83% |
| KAISER MCR ADV | KAISER MCR ADV | $1,682.00 | ↑ +79% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1,682.00 | ↑ +79% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $1,682.00 | ↑ +79% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,682.00 | ↑ +79% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,850.20 | ↑ +97% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $2,018.40 | ↑ +115% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $2,018.40 | ↑ +115% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $2,095.30 | ↑ +123% |
| UHC JLL | UHC JLL | $2,308.21 | ↑ +146% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $2,308.21 | ↑ +146% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $2,308.21 | ↑ +146% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,308.21 | ↑ +146% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $2,394.20 | ↑ +155% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $2,405.26 | ↑ +156% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $2,589.18 | ↑ +176% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2,736.19 | ↑ +191% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $3,443.55 | ↑ +267% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $3,539.58 | ↑ +277% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $3,539.58 | ↑ +277% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $5,321.85 | ↑ +467% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $5,634.90 | ↑ +500% |
Visitor-reported prices
Comments
Lap gastric bypass/roux-en-y at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,095.54 | $50.67 – $3,017.22 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,095.54 | $125.00 – $3,017.22 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $864.90 | $125.00 – $3,159.42 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $3,805.56 | $130.00 – $2,550.53 |
| WILLITS HOSPITAL INC | Willits | $1,729.80 | $130.00 – $3,111.20 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $403.62 | $189.50 – $3,110.14 |
| SONORA COMMUNITY HOSPITAL | Sonora | $980.22 | $155.00 – $3,111.20 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,556.82 | $125.00 – $3,159.42 |