Off/op cnsltj new/est low 30 at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$49.20
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.
$328.00
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.
$84.23 with UHC SELECT/SELECT PLUS vs $328.00 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 |
|---|---|---|---|
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $84.23 | ↑ +71% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $85.50 | ↑ +74% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $88.16 | ↑ +79% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $89.49 | ↑ +82% |
| UHC JLL | UHC JLL | $90.73 | ↑ +84% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $95.49 | ↑ +94% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $98.80 | ↑ +101% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $104.50 | ↑ +112% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $110.20 | ↑ +124% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $116.49 | ↑ +137% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $117.59 | ↑ +139% |
| UMR UHC PPO | UMR UHC PPO | $120.94 | ↑ +146% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $121.13 | ↑ +146% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $123.50 | ↑ +151% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $125.93 | ↑ +156% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $133.00 | ↑ +170% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $139.92 | ↑ +184% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $139.92 | ↑ +184% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $142.50 | ↑ +190% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $155.80 | ↑ +217% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $161.50 | ↑ +228% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $171.00 | ↑ +248% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $171.00 | ↑ +248% |
| VA MEDI-CAL | VA MEDI-CAL | $190.00 | ↑ +286% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $229.60 | ↑ +367% |
| MEDI-CAL | MEDI-CAL | $328.00 | ↑ +567% |
Visitor-reported prices
Comments
Off/op cnsltj new/est low 30 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $209.79 | $81.50 – $308.70 |
| Mercy Medical Center Merced | Merced | $88.58 | $103.20 – $172.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $53.39 | $2.74 – $384.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $36.48 | $108.89 – $322.56 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $28.80 | $85.96 – $270.72 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $185.46 | $20.67 – $278.40 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake | $46.80 | $130.00 – $214.50 |