Partial hip replacement at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$649.05
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.
$4,327.00
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.
$323.40 with PHCS-ALL PLANS vs $2,530.67 with BLUE CROSS NON MCS — 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 |
|---|---|---|---|
| PHCS-ALL PLANS | PHCS-ALL PLANS | $323.40 | ↓ -50% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $499.80 | ↓ -23% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $529.20 | ↓ -18% |
| MEDI-CAL | MEDI-CAL | $588.00 | ↓ -9% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $1,134.19 | ↑ +75% |
| KAISER MCR ADV | KAISER MCR ADV | $1,134.19 | ↑ +75% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1,134.19 | ↑ +75% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,134.19 | ↑ +75% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,247.61 | ↑ +92% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $1,361.03 | ↑ +110% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $1,361.03 | ↑ +110% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $1,385.02 | ↑ +113% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,490.52 | ↑ +130% |
| UHC JLL | UHC JLL | $1,490.52 | ↑ +130% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $1,490.52 | ↑ +130% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $1,490.52 | ↑ +130% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $1,621.89 | ↑ +150% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,638.24 | ↑ +152% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $1,746.82 | ↑ +169% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,846.01 | ↑ +184% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $2,530.67 | ↑ +290% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $2,530.67 | ↑ +290% |
Visitor-reported prices
Comments
Partial hip replacement at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3,113.55 | $1,196.22 – $4,581.50 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $741.95 | $32.72 – $2,216.29 |
| HANFORD COMMUNITY HOSPITAL | Selma | $741.95 | $208.49 – $16,512.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $585.75 | $531.00 – $16,512.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,577.30 | $95.00 – $1,680.60 |
| WILLITS HOSPITAL INC | Willits | $1,171.50 | $75.00 – $2,300.26 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $273.35 | $95.00 – $2,216.29 |
| SONORA COMMUNITY HOSPITAL | Sonora | $663.85 | $95.00 – $2,300.26 |