Revasc lithotrip tibi/perone at ST HELENA HOSPITAL

10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082

Source: hospital's published price file ↗ · Published Jul 15, 2026 · Ingested Sep 16, 2026

$6,926.25

Cash price

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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.

$46,175.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4,145.00 with HEALTHNET-ALL PLANS vs $41,557.50 with GALAXY NETWORK-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 →

Payer
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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
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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
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $4,145.00 ↓ -40%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $5,450.00 ↓ -21%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $9,407.00 ↑ +36%
BLUE CROSS NON MCS BLUE CROSS NON MCS $10,593.00 ↑ +53%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $11,033.00 ↑ +59%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $11,951.00 ↑ +73%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $12,242.00 ↑ +77%
BLUE SHIELD BEHAV HLTH BLUE SHIELD BEHAV HLTH $12,256.00 ↑ +77%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $12,712.00 ↑ +84%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $15,336.00 ↑ +121%
KAISER MCR ADV KAISER MCR ADV $15,336.00 ↑ +121%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $15,336.00 ↑ +121%
UHC MCR ADV UHC MCR ADV $15,336.00 ↑ +121%
BLUE SHIELD BH MCR ADV BLUE SHIELD BH MCR ADV $15,336.00 ↑ +121%
VA MCR - ALL OTHER PLANS VA MCR - ALL OTHER PLANS $15,336.00 ↑ +121%
UHC SELECT/SELECT PLUS UHC SELECT/SELECT PLUS $20,469.38 ↑ +196%
UHC JLL UHC JLL $22,048.56 ↑ +218%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $23,207.56 ↑ +235%
AETNA-ALL PLANS AETNA-ALL PLANS $24,011.00 ↑ +247%
PHCS-ALL PLANS PHCS-ALL PLANS $25,396.25 ↑ +267%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $27,604.80 ↑ +299%
UMR UHC PPO UMR UHC PPO $29,390.39 ↑ +324%
UHC OPTIONS PPO UHC OPTIONS PPO $29,436.56 ↑ +325%
CHOICECARE-ALL PLANS CHOICECARE-ALL PLANS $32,322.50 ↑ +367%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $34,631.25 ↑ +400%
CIGNA-ALL OTHER PLANS CIGNA-ALL OTHER PLANS $36,940.00 ↑ +433%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $37,863.50 ↑ +447%
HEALTH MANAGEMENT NETWORK-ALL PLANS HEALTH MANAGEMENT NETWORK-ALL PLANS $39,248.75 ↑ +467%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $41,557.50 ↑ +500%
GALAXY NETWORK-ALL PLANS GALAXY NETWORK-ALL PLANS $41,557.50 ↑ +500%

Visitor-reported prices

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Revasc lithotrip tibi/perone at other California hospitals

Hospital City Cash price Negotiated range
Vallejo Medical Center VALLEJO $7,257.60 not published
Fresno Medical Center FRESNO $7,257.60 not published
St. John's Camarillo Hospital Camarillo $8,787.60 $5,417.01 – $26,644.42
Antioch Medical Center ANTIOCH $7,257.60 not published
Redwood City Medical Center Redwood City $7,257.60 not published
Santa Clara Medical Center SANTA CLARA $7,257.60 not published
Baldwin Park Medical Center BALDWIN PARK $19,973.20 not published
Riverside Medical Center RIVERSIDE $19,973.20 not published

All California hospitals for this procedure →