Sbsq nursing facil care/day new problem 25 min 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

$36.15

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.

Full explanation →

What you pay up front if you don't use insurance.

$241.00

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.

$40.00 with MEDI-CAL vs $216.90 with THREE RIVERS-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
MEDI-CAL MEDI-CAL $40.00 ↑ +11%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $109.73 ↑ +204%
BLUE SHIELD BH MCR ADV BLUE SHIELD BH MCR ADV $109.73 ↑ +204%
KAISER MCR ADV KAISER MCR ADV $109.73 ↑ +204%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $109.73 ↑ +204%
CIGNA-ALL OTHER PLANS CIGNA-ALL OTHER PLANS $111.76 ↑ +209%
UHC OPTIONS PPO UHC OPTIONS PPO $117.07 ↑ +224%
UHC JLL UHC JLL $117.07 ↑ +224%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $117.07 ↑ +224%
UHC SELECT/SELECT PLUS UHC SELECT/SELECT PLUS $117.07 ↑ +224%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $120.70 ↑ +234%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $131.68 ↑ +264%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $131.68 ↑ +264%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $132.08 ↑ +265%
PHCS-ALL PLANS PHCS-ALL PLANS $132.55 ↑ +267%
AETNA-ALL PLANS AETNA-ALL PLANS $136.93 ↑ +279%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $139.58 ↑ +286%
BLUE CROSS NON MCS BLUE CROSS NON MCS $149.93 ↑ +315%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $149.93 ↑ +315%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $156.91 ↑ +334%
HEALTH MANAGEMENT NETWORK-ALL PLANS HEALTH MANAGEMENT NETWORK-ALL PLANS $204.85 ↑ +467%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $216.90 ↑ +500%

Visitor-reported prices

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Sbsq nursing facil care/day new problem 25 min at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $165.17 $40.00 – $243.04
Healdsburg Hospital Healdsburg $161.67 not published
REEDLEY COMMUNITY HOSPITAL Reedley $50.73 $2.57 – $165.51
HANFORD COMMUNITY HOSPITAL Selma $50.73 $40.00 – $157.49
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $40.05 $40.00 – $173.34
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $176.22 $40.00 – $146.15
WILLITS HOSPITAL INC Willits $131.10 $40.00 – $146.15
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $19.18 $40.00 – $200.62

All California hospitals for this procedure →