Pyloroplasty 43800 at WILLITS HOSPITAL INC
1 Marcela Dr, Willits, CA · Adventisthealth · · NPI 1356339543
$932.10
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.
$3,107.00
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.
$105.36 with MEDI-CAL vs $5,981.41 with BLUE SHIELD EPN — 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $105.36 | ↓ -89% |
| BRMS - ALL PLANS | BRMS - ALL PLANS | $422.45 | ↓ -55% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $621.40 | ↓ -33% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $621.40 | ↓ -33% |
| BC MEDICARE | BC MEDICARE | $627.61 | ↓ -33% |
| UHC MCR ADV | UHC MCR ADV | $683.54 | ↓ -27% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $840.72 | ↓ -10% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $929.59 | ↓ -0% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1,047.39 | ↑ +12% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $1,208.46 | ↑ +30% |
| HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $1,231.28 | ↑ +32% |
| UHC JLL | UHC JLL | $1,239.07 | ↑ +33% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,239.07 | ↑ +33% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $1,287.90 | ↑ +38% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $1,653.54 | ↑ +77% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $1,653.54 | ↑ +77% |
| GHN PPO - ALL PLANS | GHN PPO - ALL PLANS | $2,485.60 | ↑ +167% |
| FIRST HEALTH PPO - ALL PLANS | FIRST HEALTH PPO - ALL PLANS | $2,485.60 | ↑ +167% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $5,981.41 | ↑ +542% |
Visitor-reported prices
Comments
Pyloroplasty 43800 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,595.07 | $604.51 – $2,347.10 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $590.33 | $27.20 – $1,603.59 |
| HANFORD COMMUNITY HOSPITAL | Selma | $590.33 | $105.36 – $1,603.59 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $466.05 | $65.00 – $1,679.17 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,050.62 | $105.36 – $1,287.90 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $217.49 | $497.00 – $1,690.16 |
| SONORA COMMUNITY HOSPITAL | Sonora | $528.19 | $70.00 – $1,653.54 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $838.89 | $40.00 – $1,679.17 |