Tc-99m mertiatide at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$250.05
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.
$1,667.00
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.
$505.80 with BLUE SHIELD BEHAV HLTH vs $4,676.38 with AETNA-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 |
|---|---|---|---|
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $505.80 | ↑ +102% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $521.54 | ↑ +109% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $529.40 | ↑ +112% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $595.72 | ↑ +138% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $618.20 | ↑ +147% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $689.12 | ↑ +176% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $730.60 | ↑ +192% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $786.80 | ↑ +215% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $843.00 | ↑ +237% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $899.20 | ↑ +260% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $913.61 | ↑ +265% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $921.68 | ↑ +269% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $955.40 | ↑ +282% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $1,011.60 | ↑ +305% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $1,011.60 | ↑ +305% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $1,015.09 | ↑ +306% |
| VA MEDI-CAL | VA MEDI-CAL | $1,124.00 | ↑ +350% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $1,218.25 | ↑ +387% |
| UMR UHC PPO | UMR UHC PPO | $1,283.16 | ↑ +413% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $2,159.69 | ↑ +764% |
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $2,159.69 | ↑ +764% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,159.69 | ↑ +764% |
| UHC JLL | UHC JLL | $2,159.69 | ↑ +764% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $4,676.38 | ↑ +1770% |
Visitor-reported prices
Comments
Tc-99m mertiatide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Vallejo Medical Center | VALLEJO | $1,414.56 | $1,002.00 – $1,002.00 |
| Fresno Medical Center | FRESNO | $1,414.56 | $1,002.00 – $1,002.00 |
| St. John's Camarillo Hospital | Camarillo | $262.80 | $160.38 – $528.01 |
| Antioch Medical Center | ANTIOCH | $1,414.56 | $1,002.00 – $1,002.00 |
| Redwood City Medical Center | Redwood City | $1,414.56 | $1,002.00 – $1,002.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,414.56 | $1,002.00 – $1,002.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $1,015.56 | $894.00 – $894.00 |
| Riverside Medical Center | RIVERSIDE | $1,015.56 | $894.00 – $894.00 |