Medical testimony at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$50.55
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.
$337.00
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.
$82.75 with BLUE CROSS MCS - ALL OTHER PLANS vs $337.00 with MEDI-CAL — 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 |
|---|---|---|---|
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $82.75 | ↑ +64% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $82.75 | ↑ +64% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $185.35 | ↑ +267% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $203.70 | ↑ +303% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $235.90 | ↑ +367% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $252.75 | ↑ +400% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $269.60 | ↑ +433% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $286.45 | ↑ +467% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $303.30 | ↑ +500% |
| MEDI-CAL | MEDI-CAL | $337.00 | ↑ +567% |
Visitor-reported prices
Comments
Medical testimony at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $89.30 | $375.45 – $675.81 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $310.20 | $278.92 – $1,410.00 |
| WILLITS HOSPITAL INC | Willits | $141.00 | $403.38 – $470.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $32.90 | $152.00 – $671.63 |
| SONORA COMMUNITY HOSPITAL | Sonora | $84.66 | $76.84 – $747.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $126.90 | $304.25 – $684.56 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO | $79.92 | $80.04 – $710.40 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $94.00 | $280.46 – $504.83 |