Unlisted procedure microbiology at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$66.45
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.
$443.00
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.
$196.38 with UHC SELECT/SELECT PLUS vs $3,719.87 with HEALTHNET-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 |
|---|---|---|---|
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $196.38 | ↑ +196% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $199.35 | ↑ +200% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $205.55 | ↑ +209% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $208.65 | ↑ +214% |
| UHC JLL | UHC JLL | $211.53 | ↑ +218% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $222.65 | ↑ +235% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $230.36 | ↑ +247% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $234.79 | ↑ +253% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $243.65 | ↑ +267% |
| UMR UHC PPO | UMR UHC PPO | $281.97 | ↑ +324% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $282.41 | ↑ +325% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $287.95 | ↑ +333% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $293.62 | ↑ +342% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $310.10 | ↑ +367% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $326.23 | ↑ +391% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $326.23 | ↑ +391% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $332.25 | ↑ +400% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $354.40 | ↑ +433% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $363.26 | ↑ +447% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $376.55 | ↑ +467% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $398.70 | ↑ +500% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $398.70 | ↑ +500% |
| VA MEDI-CAL | VA MEDI-CAL | $443.00 | ↑ +567% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $3,719.87 | ↑ +5498% |
Visitor-reported prices
Comments
Unlisted procedure microbiology at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $571.71 | not published |
| Arroyo Grande Hospital | Santa Maria | $166.86 | $91.13 – $382.05 |
| French Hospital | San Luis Obispo | $152.82 | $105.26 – $382.05 |
| Queen of The Valley Medical Center | Napa | $544.68 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $653.82 | not published |
| Redwood Memorial Hospital | Fortuna | $544.68 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $544.68 | not published |
| Northridge Hospital Medical Center | Northridge | $97.65 | $49.00 – $350.00 |