Opn ilac art expos cndt crtj at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$168.60
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.
$1,124.00
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.
$344.97 with KAISER MCR ADV vs $12,712.00 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 | $344.97 | ↑ +105% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $344.97 | ↑ +105% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $344.97 | ↑ +105% |
| UHC MCR ADV | UHC MCR ADV | $344.97 | ↑ +105% |
| VA MCR - ALL OTHER PLANS | VA MCR - ALL OTHER PLANS | $344.97 | ↑ +105% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $344.97 | ↑ +105% |
| VA MEDI-CAL | VA MEDI-CAL | $376.12 | ↑ +123% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $498.27 | ↑ +196% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $505.80 | ↑ +200% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $521.54 | ↑ +209% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $529.40 | ↑ +214% |
| UHC JLL | UHC JLL | $536.71 | ↑ +218% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $564.92 | ↑ +235% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $584.48 | ↑ +247% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $618.20 | ↑ +267% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $620.95 | ↑ +268% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $651.92 | ↑ +287% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $689.12 | ↑ +309% |
| UMR UHC PPO | UMR UHC PPO | $715.43 | ↑ +324% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $716.55 | ↑ +325% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $730.60 | ↑ +333% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $786.80 | ↑ +367% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $843.00 | ↑ +400% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $899.20 | ↑ +433% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $921.68 | ↑ +447% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $955.40 | ↑ +467% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $1,011.60 | ↑ +500% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $1,011.60 | ↑ +500% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $9,407.00 | ↑ +5479% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $10,593.00 | ↑ +6183% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $12,712.00 | ↑ +7440% |
Visitor-reported prices
Comments
Opn ilac art expos cndt crtj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,594.30 | $431.61 – $3,650.50 |
| French Hospital | San Luis Obispo | $1,415.52 | $431.61 – $3,538.78 |
| California Hospital Medical Center | Los Angeles | $878.82 | $426.78 – $2,371.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $530.88 – $646.75 |
| Petaluma Valley Hospital | Petaluma | not published | $6,619.00 – $23,742.00 |
| Mark Twain Medical Center | San Andreas | not published | $431.61 – $431.61 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $431.61 – $1,142.82 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $431.61 – $1,142.82 |