Prolng off/op e/m ea 15 min 99417 at RIDEOUT MEMORIAL HOSPITAL

726 4th St, Marysville, CA · Adventisthealth · · NPI 1720088354

Source: hospital's published price file ↗ · Published Jul 6, 2026 · Ingested Sep 16, 2026

$11.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$50.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$30.65 with BC MCAL vs $82.50 with PARTNERSHIP HP MCAL -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 →

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
BC MCAL BC MCAL $30.65 ↑ +179%
AETNA-ALL PLANS AETNA-ALL PLANS $35.35 ↑ +221%
HEALTHNET COMM-ALL OTHER PLANS HEALTHNET COMM-ALL OTHER PLANS $36.40 ↑ +231%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $38.00 ↑ +245%
BLUE CROSS-ALL OTHER PLANS BLUE CROSS-ALL OTHER PLANS $38.50 ↑ +250%
BLUE SHIELD UC CARE MEMBERS BLUE SHIELD UC CARE MEMBERS $40.00 ↑ +264%
UHC JLL UHC JLL $40.43 ↑ +268%
CIGNA-ALL PLANS CIGNA-ALL PLANS $42.62 ↑ +287%
UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $43.43 ↑ +295%
FIRST HEALTH-ALL PLANS FIRST HEALTH-ALL PLANS $43.75 ↑ +298%
PHCS-ALL PLANS PHCS-ALL PLANS $44.00 ↑ +300%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $45.00 ↑ +309%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $47.50 ↑ +332%
MULTIPLAN-ALL PLANS MULTIPLAN-ALL PLANS $47.50 ↑ +332%
MEDI-CAL MEDI-CAL $50.00 ↑ +355%
HEALTHNET MCAL HEALTHNET MCAL $50.00 ↑ +355%
KAISER MCAL KAISER MCAL $50.00 ↑ +355%
CELTIC MCAID-ALL PLANS CELTIC MCAID-ALL PLANS $62.00 ↑ +464%
CA HEALTH AND WELLNESS- ALL PLANS CA HEALTH AND WELLNESS- ALL PLANS $62.00 ↑ +464%
PARTNERSHIP HP MCAL -ALL PLANS PARTNERSHIP HP MCAL -ALL PLANS $82.50 ↑ +650%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Prolng off/op e/m ea 15 min 99417 at other California hospitals

Hospital City Cash price Negotiated range
Healdsburg Hospital Healdsburg $34.17 not published
Redwood Memorial Hospital Fortuna $53.55 not published
REEDLEY COMMUNITY HOSPITAL Reedley $20.14 $37.36 – $675.81
ST HELENA HOSPITAL Vallejo $16.50 $39.99 – $110.00
HANFORD COMMUNITY HOSPITAL Selma $13.87 $37.36 – $122.64
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $15.75 $30.52 – $125.06
ADVENTIST HEALTH DELANO Delano $9.60 $33.18 – $57.17
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $77.22 $20.67 – $278.92

All California hospitals for this procedure →