Off/op cnsltj new/est mod 40 at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$70.50
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.
?
What you pay up front if you don't use insurance.
$470.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$125.01 with UHC SELECT/SELECT PLUS vs $470.00 with MEDI-CAL — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $125.01 | ↑ +77% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $126.90 | ↑ +80% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $130.85 | ↑ +86% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $132.82 | ↑ +88% |
| UHC JLL | UHC JLL | $134.66 | ↑ +91% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $141.73 | ↑ +101% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $146.64 | ↑ +108% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $155.10 | ↑ +120% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $163.56 | ↑ +132% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $172.89 | ↑ +145% |
| UMR UHC PPO | UMR UHC PPO | $179.49 | ↑ +155% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $179.78 | ↑ +155% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $183.30 | ↑ +160% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $186.91 | ↑ +165% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $189.09 | ↑ +168% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $197.40 | ↑ +180% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $207.66 | ↑ +195% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $207.66 | ↑ +195% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $211.50 | ↑ +200% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $231.24 | ↑ +228% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $239.70 | ↑ +240% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $253.80 | ↑ +260% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $253.80 | ↑ +260% |
| VA MEDI-CAL | VA MEDI-CAL | $282.00 | ↑ +300% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $329.00 | ↑ +367% |
| MEDI-CAL | MEDI-CAL | $470.00 | ↑ +567% |
Visitor-reported prices
Comments
Off/op cnsltj new/est mod 40 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $319.02 | $123.92 – $469.42 |
| Mercy Medical Center Merced | Merced | $121.03 | $134.00 – $235.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $76.57 | $4.41 – $626.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $59.47 | $174.98 – $525.84 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $72.75 | $136.90 – $379.93 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $265.98 | $20.67 – $363.00 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake | $62.28 | $173.00 – $285.45 |