Biopsy of salivary glnd;incisional 42405 at WILLITS HOSPITAL INC
1 Marcela Dr, Willits, CA · Adventisthealth · · NPI 1356339543
$322.80
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.
?
What you pay up front if you don't use insurance.
$1,076.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$60.00 with MEDI-CAL vs $674.05 with BRMS - ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $60.00 | ↓ -81% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $158.60 | ↓ -51% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $158.60 | ↓ -51% |
| BC MEDICARE | BC MEDICARE | $160.19 | ↓ -50% |
| UHC MCR ADV | UHC MCR ADV | $174.46 | ↓ -46% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $218.30 | ↓ -32% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $224.70 | ↓ -30% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $262.26 | ↓ -19% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $292.11 | ↓ -10% |
| UHC JLL | UHC JLL | $295.19 | ↓ -9% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $295.19 | ↓ -9% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $297.62 | ↓ -8% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $414.61 | ↑ +28% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $414.61 | ↑ +28% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $466.89 | ↑ +45% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $542.41 | ↑ +68% |
| GHN PPO - ALL PLANS | GHN PPO - ALL PLANS | $634.40 | ↑ +97% |
| FIRST HEALTH PPO - ALL PLANS | FIRST HEALTH PPO - ALL PLANS | $634.40 | ↑ +97% |
| BRMS - ALL PLANS | BRMS - ALL PLANS | $674.05 | ↑ +109% |
Visitor-reported prices
Comments
Biopsy of salivary glnd;incisional 42405 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $9,917.60 | not published |
| Antioch Medical Center | ANTIOCH | $9,917.60 | not published |
| Redwood City Medical Center | Redwood City | $9,917.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $9,917.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $4,560.40 | not published |
| Riverside Medical Center | RIVERSIDE | $4,560.40 | not published |
| Fremont Medical Center | FREMONT | $9,917.60 | not published |
| Panorama Medical Center | PANORAMA CITY | $4,560.40 | not published |