99381 initial comp preventive med less than 1 year new at ADVENTIST HEALTH CLEARLAKE HOSPITAL
15630 18th Ave, Clearlake, CA · Adventisthealth · · NPI 1124018031
$36.00
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.
$100.00
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.
$19.95 with KAISER MCR ADV vs $156.75 with PARTNERSHIP MCAL - 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 |
|---|---|---|---|
| KAISER MCR ADV | KAISER MCR ADV | $19.95 | ↓ -45% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $19.95 | ↓ -45% |
| TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $19.95 | ↓ -45% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $20.75 | ↓ -42% |
| UHC MCR ADV | UHC MCR ADV | $21.95 | ↓ -39% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $39.90 | ↑ +11% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $58.00 | ↑ +61% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $64.44 | ↑ +79% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $64.44 | ↑ +79% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $70.98 | ↑ +97% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $71.25 | ↑ +98% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $72.96 | ↑ +103% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $72.96 | ↑ +103% |
| UHC JLL | UHC JLL | $75.27 | ↑ +109% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $76.00 | ↑ +111% |
| HEALTHNET- ALL PLANS | HEALTHNET- ALL PLANS | $77.90 | ↑ +116% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $79.23 | ↑ +120% |
| HUMANA- ALL PLANS | HUMANA- ALL PLANS | $80.75 | ↑ +124% |
| FOUNDATION- ALL PLANS | FOUNDATION- ALL PLANS | $80.75 | ↑ +124% |
| HEALTH MGMT NETWORK- ALL PLANS | HEALTH MGMT NETWORK- ALL PLANS | $80.75 | ↑ +124% |
| PHCS- ALL PLANS | PHCS- ALL PLANS | $80.75 | ↑ +124% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $85.50 | ↑ +138% |
| INTERPLAN- ALL PLANS | INTERPLAN- ALL PLANS | $85.50 | ↑ +138% |
| KAISER- ALL OTHER PLANS | KAISER- ALL OTHER PLANS | $85.50 | ↑ +138% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $85.50 | ↑ +138% |
| MEDI-CAL | MEDI-CAL | $95.00 | ↑ +164% |
| BC MANAGED MCAL | BC MANAGED MCAL | $95.00 | ↑ +164% |
| PARTNERSHIP MCAL - ALL PLANS | PARTNERSHIP MCAL - ALL PLANS | $156.75 | ↑ +335% |
Visitor-reported prices
Comments
99381 initial comp preventive med less than 1 year new at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $114.56 | $44.50 – $168.56 |
| Healdsburg Hospital | Healdsburg | $124.95 | not published |
| Mercy Medical Center Merced | Merced | $134.93 | $65.02 – $259.38 |
| St. Mary Medical Center | Long Beach | $138.03 | $58.52 – $325.10 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $45.22 | $2.19 – $675.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $36.10 | $81.57 – $319.20 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $28.50 | $58.55 – $267.90 |
| ADVENTIST HEALTH DELANO | Delano | $39.60 | $187.08 – $241.33 |