New Patient Office Visit (level 4) at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$43.50
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.
$290.00
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.
$68.90 with MEDI-CAL vs $278.26 with BLUE CROSS MCS - ALL OTHER 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 | $68.90 | ↑ +58% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $125.44 | ↑ +188% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $137.98 | ↑ +217% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $150.53 | ↑ +246% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $150.53 | ↑ +246% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $156.82 | ↑ +261% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $159.50 | ↑ +267% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $166.73 | ↑ +283% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $166.73 | ↑ +283% |
| UHC JLL | UHC JLL | $166.73 | ↑ +283% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $166.73 | ↑ +283% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $179.38 | ↑ +312% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $196.86 | ↑ +353% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $246.49 | ↑ +467% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $246.50 | ↑ +467% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $260.49 | ↑ +499% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $261.00 | ↑ +500% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $278.26 | ↑ +540% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $278.26 | ↑ +540% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,667.98 | $231.65 – $548.05 |
| Arroyo Grande Hospital | Santa Maria | $1,043.90 | $98.83 – $454.00 |
| Mark Twain Medical Center | San Andreas | $291.05 | $58.73 – $222.46 |
| French Hospital | San Luis Obispo | $725.20 | $98.01 – $355.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $178.08 | $111.00 – $384.00 |
| Bakersfield Memorial Hospital | Bakersfield | $208.83 | $104.00 – $314.82 |
| Healdsburg Hospital | Healdsburg | $633.42 | not published |