Special physics consult at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$380.70
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.
$2,538.00
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.
$136.54 with VA MEDI-CAL vs $1,630.80 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 →
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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 |
|---|---|---|---|
| VA MEDI-CAL | VA MEDI-CAL | $136.54 | ↓ -64% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $178.56 | ↓ -53% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $178.56 | ↓ -53% |
| UHC MCR ADV | UHC MCR ADV | $178.56 | ↓ -53% |
| VA MCR - ALL OTHER PLANS | VA MCR - ALL OTHER PLANS | $178.56 | ↓ -53% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $178.56 | ↓ -53% |
| KAISER MCR ADV | KAISER MCR ADV | $178.56 | ↓ -53% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $321.40 | ↓ -16% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $757.74 | ↑ +99% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $784.56 | ↑ +106% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $803.26 | ↑ +111% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $815.40 | ↑ +114% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $840.77 | ↑ +121% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $853.45 | ↑ +124% |
| UHC JLL | UHC JLL | $865.23 | ↑ +127% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $871.73 | ↑ +129% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $910.71 | ↑ +139% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $913.43 | ↑ +140% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $996.60 | ↑ +162% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $1,046.07 | ↑ +175% |
| UMR UHC PPO | UMR UHC PPO | $1,153.34 | ↑ +203% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $1,155.15 | ↑ +203% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $1,177.80 | ↑ +209% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $1,232.16 | ↑ +224% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $1,268.40 | ↑ +233% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $1,359.00 | ↑ +257% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $1,449.60 | ↑ +281% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $1,485.84 | ↑ +290% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $1,540.20 | ↑ +305% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $1,630.80 | ↑ +328% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $1,630.80 | ↑ +328% |
Visitor-reported prices
Comments
Special physics consult at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Vallejo Medical Center | VALLEJO | $1,999.20 | $209.00 – $209.00 |
| Fresno Medical Center | FRESNO | $1,999.20 | $209.00 – $209.00 |
| St. John's Camarillo Hospital | Camarillo | $724.46 | $168.70 – $1,438.98 |
| Antioch Medical Center | ANTIOCH | $1,999.20 | $209.00 – $209.00 |
| Redwood City Medical Center | Redwood City | $1,999.20 | $209.00 – $209.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,999.20 | $209.00 – $209.00 |
| Fremont Medical Center | FREMONT | $1,999.20 | $209.00 – $209.00 |
| Sacramento Medical Center | SACRAMENTO | $1,999.20 | $209.00 – $209.00 |