Biopsy knee joint lining at WILLITS HOSPITAL INC
1 Marcela Dr, Willits, CA · Adventisthealth · · NPI 1356339543
$454.20
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.
$1,514.00
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.
$349.79 with AETNA - ALL PLANS vs $1,286.90 with BRMS - 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 |
|---|---|---|---|
| AETNA - ALL PLANS | AETNA - ALL PLANS | $349.79 | ↓ -23% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $419.31 | ↓ -8% |
| BC MEDICARE | BC MEDICARE | $419.31 | ↓ -8% |
| UHC MCR ADV | UHC MCR ADV | $419.31 | ↓ -8% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $419.31 | ↓ -8% |
| MEDI-CAL | MEDI-CAL | $446.76 | ↓ -2% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $461.24 | ↑ +2% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $472.84 | ↑ +4% |
| UHC JLL | UHC JLL | $540.26 | ↑ +19% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $540.26 | ↑ +19% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $599.61 | ↑ +32% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $610.93 | ↑ +35% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $629.11 | ↑ +39% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $807.80 | ↑ +78% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $807.80 | ↑ +78% |
| BRMS - ALL PLANS | BRMS - ALL PLANS | $1,286.90 | ↑ +183% |
Visitor-reported prices
Comments
Biopsy knee joint lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $5,628.00 | not published |
| Antioch Medical Center | ANTIOCH | $5,628.00 | not published |
| Redwood City Medical Center | Redwood City | $5,628.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $5,628.00 | not published |
| Fremont Medical Center | FREMONT | $5,628.00 | not published |
| Sacramento Medical Center | SACRAMENTO | $5,628.00 | not published |
| Oakland Medical Center | Oakland | $5,628.00 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $5,628.00 | not published |