Aco cmplx chron care without pt visit, 60 min 99487aco at WILLITS HOSPITAL INC
1 Marcela Dr, Willits, CA · Adventisthealth · · NPI 1356339543
$102.90
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.
$343.00
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.
$44.20 with TRICARE BLUE SHIELD - ALL PLANS vs $221.00 with MEDI-CAL — 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 |
|---|---|---|---|
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $44.20 | ↓ -57% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $44.20 | ↓ -57% |
| BC MEDICARE | BC MEDICARE | $44.64 | ↓ -57% |
| UHC MCR ADV | UHC MCR ADV | $48.62 | ↓ -53% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $59.33 | ↓ -42% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $67.42 | ↓ -34% |
| UHC JLL | UHC JLL | $67.42 | ↓ -34% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $87.51 | ↓ -15% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $88.36 | ↓ -14% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $113.76 | ↑ +11% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $115.90 | ↑ +13% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $129.71 | ↑ +26% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $143.96 | ↑ +40% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $143.96 | ↑ +40% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $151.16 | ↑ +47% |
| FIRST HEALTH PPO - ALL PLANS | FIRST HEALTH PPO - ALL PLANS | $176.80 | ↑ +72% |
| GHN PPO - ALL PLANS | GHN PPO - ALL PLANS | $176.80 | ↑ +72% |
| BRMS - ALL PLANS | BRMS - ALL PLANS | $187.85 | ↑ +83% |
| MEDI-CAL | MEDI-CAL | $221.00 | ↑ +115% |
Visitor-reported prices
Comments
Aco cmplx chron care without pt visit, 60 min 99487aco at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $208.88 | not published |
| Santa Clara Medical Center | SANTA CLARA | $208.88 | not published |
| Sacramento Medical Center | SACRAMENTO | $208.88 | not published |
| Oakland Medical Center | Oakland | $208.88 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $208.88 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $65.17 | $1.48 – $442.00 |
| San Leandro Medical Center | SAN LEANDRO | $208.88 | not published |
| Santa Rosa Medical Center | SANTA ROSA | $208.88 | not published |