Srs cranial lesion simple at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$3,145.05
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.
$20,967.00
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.
$762.05 with VA MEDI-CAL vs $24,341.00 with BLUE CROSS MCS - ALL OTHER 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 | $762.05 | ↓ -76% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1,065.42 | ↓ -66% |
| UHC MCR ADV | UHC MCR ADV | $1,065.42 | ↓ -66% |
| VA MCR - ALL OTHER PLANS | VA MCR - ALL OTHER PLANS | $1,065.42 | ↓ -66% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $1,065.42 | ↓ -66% |
| KAISER MCR ADV | KAISER MCR ADV | $1,065.42 | ↓ -66% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,065.42 | ↓ -66% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,917.76 | ↓ -39% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $4,000.00 | ↑ +27% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $8,500.00 | ↑ +170% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $9,294.67 | ↑ +196% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $9,435.15 | ↑ +200% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $9,728.69 | ↑ +209% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $9,875.46 | ↑ +214% |
| UHC JLL | UHC JLL | $10,011.74 | ↑ +218% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $10,538.01 | ↑ +235% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $11,033.00 | ↑ +251% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $11,257.00 | ↑ +258% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $11,531.85 | ↑ +267% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $12,968.09 | ↑ +312% |
| UMR UHC PPO | UMR UHC PPO | $13,345.50 | ↑ +324% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $13,366.46 | ↑ +325% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $14,676.90 | ↑ +367% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $16,773.60 | ↑ +433% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $17,192.94 | ↑ +447% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $17,821.95 | ↑ +467% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $18,014.00 | ↑ +473% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $18,870.30 | ↑ +500% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $18,870.30 | ↑ +500% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $20,285.00 | ↑ +545% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $24,341.00 | ↑ +674% |
Visitor-reported prices
Comments
Srs cranial lesion simple at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | not published | $100.00 – $924.41 |
| Petaluma Valley Hospital | Petaluma | not published | $15,313.00 – $15,313.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $531.27 – $803.76 |
| Mark Twain Medical Center | San Andreas | not published | $531.27 – $531.27 |
| French Hospital | San Luis Obispo | not published | $100.00 – $653.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $531.27 – $1,280.36 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $531.27 – $1,280.36 |
| Queen of The Valley Medical Center | Napa | not published | $12,563.00 – $24,453.00 |