Ol dig e/m svc 5-10 min at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$4.20
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.
?
What you pay up front if you don't use insurance.
$28.00
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.
$11.86 with KAISER MCR ADV vs $30.08 with BLUE CROSS MCS - ALL OTHER PLANS — 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 |
|---|---|---|---|
| KAISER MCR ADV | KAISER MCR ADV | $11.86 | ↑ +182% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $11.86 | ↑ +182% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $11.86 | ↑ +182% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $11.86 | ↑ +182% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $13.05 | ↑ +211% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $14.23 | ↑ +239% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $14.23 | ↑ +239% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $15.40 | ↑ +267% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $15.89 | ↑ +278% |
| UHC JLL | UHC JLL | $16.85 | ↑ +301% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $16.85 | ↑ +301% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $16.85 | ↑ +301% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $16.85 | ↑ +301% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $16.96 | ↑ +304% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $21.55 | ↑ +413% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $23.80 | ↑ +467% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $24.84 | ↑ +491% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $25.20 | ↑ +500% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $26.25 | ↑ +525% |
| MEDI-CAL | MEDI-CAL | $28.00 | ↑ +567% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $30.08 | ↑ +616% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $30.08 | ↑ +616% |
Visitor-reported prices
Comments
Ol dig e/m svc 5-10 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $7.03 | $0.37 – $62.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $5.89 | $11.05 – $52.08 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $4.65 | $11.11 – $43.71 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $24.42 | $11.05 – $44.95 |
| WILLITS HOSPITAL INC | Willits | $15.30 | $11.05 – $31.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $2.59 | $11.05 – $37.20 |
| SONORA COMMUNITY HOSPITAL | Sonora | $6.29 | $11.05 – $46.50 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $9.99 | $11.11 – $523.31 |