Off/op consltj new/est hi 55 at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$84.15
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.
$561.00
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.
$153.38 with UHC SELECT/SELECT PLUS vs $561.00 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 | $153.38 | ↑ +82% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $155.70 | ↑ +85% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $160.54 | ↑ +91% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $162.97 | ↑ +94% |
| UHC JLL | UHC JLL | $165.22 | ↑ +96% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $173.90 | ↑ +107% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $179.92 | ↑ +114% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $190.30 | ↑ +126% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $200.68 | ↑ +138% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $212.13 | ↑ +152% |
| UMR UHC PPO | UMR UHC PPO | $220.23 | ↑ +162% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $220.58 | ↑ +162% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $224.90 | ↑ +167% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $229.33 | ↑ +173% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $233.80 | ↑ +178% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $242.20 | ↑ +188% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $254.79 | ↑ +203% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $254.79 | ↑ +203% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $259.50 | ↑ +208% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $283.72 | ↑ +237% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $294.10 | ↑ +249% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $311.40 | ↑ +270% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $311.40 | ↑ +270% |
| VA MEDI-CAL | VA MEDI-CAL | $346.00 | ↑ +311% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $392.70 | ↑ +367% |
| MEDI-CAL | MEDI-CAL | $561.00 | ↑ +567% |
Visitor-reported prices
Comments
Off/op consltj new/est hi 55 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $396.27 | $153.93 – $583.10 |
| Mercy Medical Center Merced | Merced | $151.93 | $134.00 – $295.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $100.70 | $5.45 – $850.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $80.75 | $216.48 – $714.00 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $63.75 | $169.72 – $410.49 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $349.80 | $20.67 – $363.00 |
| WILLITS HOSPITAL INC | Willits | $159.00 | $191.65 – $411.13 |