Unlisted laparoscopic procedure 49659 at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$93.81
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.
$625.40
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.
$82.75 with BLUE CROSS MCS - ALL OTHER PLANS vs $1,578.85 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 CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $82.75 | ↓ -12% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $82.75 | ↓ -12% |
| MEDI-CAL | MEDI-CAL | $155.00 | ↑ +65% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $343.97 | ↑ +267% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $437.78 | ↑ +367% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $469.05 | ↑ +400% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $500.32 | ↑ +433% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $531.59 | ↑ +467% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $562.86 | ↑ +500% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,578.85 | ↑ +1583% |
Visitor-reported prices
Comments
Unlisted laparoscopic procedure 49659 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,103.57 | $428.67 – $1,623.86 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $707.52 | $422.18 – $422.18 |
| St. John's Camarillo Hospital | Camarillo | not published | $7,413.14 – $13,082.50 |
| Baldwin Park Medical Center | BALDWIN PARK | not published | not published |
| Riverside Medical Center | RIVERSIDE | not published | not published |
| Panorama Medical Center | PANORAMA CITY | not published | not published |
| Petaluma Valley Hospital | Petaluma | not published | $5,734.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $7,413.14 – $7,413.14 |