Pr planning advance care 1st 30 minutes at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$24.75
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.
$165.00
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.
$55.41 with UHC SELECT/SELECT PLUS vs $134.96 with UHC MCR ADV — 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 | $55.41 | ↑ +124% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $56.25 | ↑ +127% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $58.00 | ↑ +134% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $58.88 | ↑ +138% |
| UHC JLL | UHC JLL | $59.69 | ↑ +141% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $62.83 | ↑ +154% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $65.00 | ↑ +163% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $68.75 | ↑ +178% |
| MEDI-CAL | MEDI-CAL | $69.59 | ↑ +181% |
| KAISER MCR ADV | KAISER MCR ADV | $71.51 | ↑ +189% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $71.51 | ↑ +189% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $71.51 | ↑ +189% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $71.51 | ↑ +189% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $72.50 | ↑ +193% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $76.64 | ↑ +210% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $78.66 | ↑ +218% |
| UMR UHC PPO | UMR UHC PPO | $79.56 | ↑ +221% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $79.69 | ↑ +222% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $81.25 | ↑ +228% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $82.85 | ↑ +235% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $85.81 | ↑ +247% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $87.50 | ↑ +254% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $92.05 | ↑ +272% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $92.05 | ↑ +272% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $93.75 | ↑ +279% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $96.43 | ↑ +290% |
| VA MEDI-CAL | VA MEDI-CAL | $99.82 | ↑ +303% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $106.25 | ↑ +329% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $112.50 | ↑ +355% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $112.50 | ↑ +355% |
| VA MCR - ALL OTHER PLANS | VA MCR - ALL OTHER PLANS | $134.96 | ↑ +445% |
| UHC MCR ADV | UHC MCR ADV | $134.96 | ↑ +445% |
Visitor-reported prices
Comments
Pr planning advance care 1st 30 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $133.87 | $52.00 – $196.98 |
| Mercy Medical Center Merced | Merced | $116.39 | $69.59 – $223.74 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $38.76 | $2.23 – $240.34 |
| HANFORD COMMUNITY HOSPITAL | Selma | $34.96 | $66.48 – $240.34 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $27.60 | $66.79 – $243.59 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $193.38 | $20.67 – $133.80 |
| WILLITS HOSPITAL INC | Willits | $84.00 | $66.48 – $243.97 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville | $52.14 | $47.40 – $391.05 |