Screen/visual acuity/bilat/quant 99173 at ADVENTIST HEALTH DELANO
1401 Garces Hwy, Delano, CA · Adventisthealth · · NPI 1144237272
$11.60
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.
$58.00
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.
$11.96 with BLUE SHIELD EPN - ALL OTHER PLANS vs $210.00 with ANTHEM MCAL — 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 |
|---|---|---|---|
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $11.96 | ↑ +3% |
| KERN HEALTH SYSTEM MCAL | KERN HEALTH SYSTEM MCAL | $23.14 | ↑ +99% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $32.75 | ↑ +182% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $35.48 | ↑ +206% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $36.74 | ↑ +217% |
| UHC HMO | UHC HMO | $37.32 | ↑ +222% |
| COUNTY OF KERN NETWORK - ALL PLANS | COUNTY OF KERN NETWORK - ALL PLANS | $38.21 | ↑ +229% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $38.21 | ↑ +229% |
| UHC JLL | UHC JLL | $39.28 | ↑ +239% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $39.28 | ↑ +239% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $40.29 | ↑ +247% |
| FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | $40.94 | ↑ +253% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $43.67 | ↑ +276% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $44.22 | ↑ +281% |
| ANTHEM - ALL OTHER PLANS | ANTHEM - ALL OTHER PLANS | $45.42 | ↑ +292% |
| MEDI-CAL | MEDI-CAL | $54.59 | ↑ +371% |
| DIGNTY HLTH MCAL OP ONLY | DIGNTY HLTH MCAL OP ONLY | $54.59 | ↑ +371% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $54.59 | ↑ +371% |
| UNIVERSAL CARE MCAL | UNIVERSAL CARE MCAL | $54.59 | ↑ +371% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $65.02 | ↑ +461% |
| ANTHEM MCAL | ANTHEM MCAL | $210.00 | ↑ +1710% |
Visitor-reported prices
Comments
Screen/visual acuity/bilat/quant 99173 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3.33 | $1.30 – $4.90 |
| Redwood Memorial Hospital | Fortuna | $6.12 | not published |
| Mercy Medical Center Merced | Merced | $6.18 | $7.20 – $11.88 |
| Dominican Hospital | Santa Cruz | $39.60 | $57.20 – $79.20 |
| St. Mary Medical Center | Long Beach | $9.89 | $5.75 – $23.00 |
| Mercy Medical Center Redding | Redding | $3.05 | $4.80 – $5.88 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $41.23 | $0.08 – $2,699.00 |
| ST HELENA HOSPITAL | Vallejo | $19.65 | $36.00 – $36.00 |