_propoxygc/msur at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$27.90
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.
$186.00
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.
$0.05 with AETNA-ALL PLANS vs $1,267.95 with HEALTHNET-ALL PLANS — 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 |
|---|---|---|---|
| AETNA-ALL PLANS | AETNA-ALL PLANS | $0.05 | ↓ -100% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $66.94 | ↑ +140% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $67.95 | ↑ +144% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $70.06 | ↑ +151% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $71.12 | ↑ +155% |
| UHC JLL | UHC JLL | $72.10 | ↑ +158% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $75.89 | ↑ +172% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $80.03 | ↑ +187% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $83.05 | ↑ +198% |
| UMR UHC PPO | UMR UHC PPO | $96.11 | ↑ +244% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $96.26 | ↑ +245% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $98.15 | ↑ +252% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $105.70 | ↑ +279% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $113.25 | ↑ +306% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $120.80 | ↑ +333% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $123.82 | ↑ +344% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $128.35 | ↑ +360% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $135.90 | ↑ +387% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $135.90 | ↑ +387% |
| VA MEDI-CAL | VA MEDI-CAL | $151.00 | ↑ +441% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $154.80 | ↑ +455% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $172.00 | ↑ +516% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $206.40 | ↑ +640% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $1,267.95 | ↑ +4445% |
Visitor-reported prices
Comments
_propoxygc/msur at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Vallejo Medical Center | VALLEJO | $80.08 | $29.00 – $29.00 |
| Fresno Medical Center | FRESNO | $80.08 | $29.00 – $29.00 |
| Antioch Medical Center | ANTIOCH | $80.08 | $29.00 – $29.00 |
| Redwood City Medical Center | Redwood City | $80.08 | $29.00 – $29.00 |
| Santa Clara Medical Center | SANTA CLARA | $80.08 | $29.00 – $29.00 |
| Fremont Medical Center | FREMONT | $80.08 | $29.00 – $29.00 |
| Sacramento Medical Center | SACRAMENTO | $80.08 | $29.00 – $29.00 |
| Oakland Medical Center | Oakland | $80.08 | $29.00 – $29.00 |