Prolng off/op e/m ea 15 min 99417 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$20.14
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.
$106.00
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.
$21.90 with UPN MCR ADV PROFEE ONLY vs $619.49 with AETNA MCR ADV — 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 |
|---|---|---|---|
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $21.90 | ↑ +9% |
| UHC JLL CSP | UHC JLL CSP | $29.16 | ↑ +45% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $30.41 | ↑ +51% |
| UHC HMO | UHC HMO | $30.70 | ↑ +52% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $30.70 | ↑ +52% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $31.76 | ↑ +58% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $33.58 | ↑ +67% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $33.79 | ↑ +68% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $33.79 | ↑ +68% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $36.50 | ↑ +81% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.36 | ↑ +86% |
| BC MCAL | BC MCAL | $38.23 | ↑ +90% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $39.57 | ↑ +96% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $39.79 | ↑ +98% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $45.63 | ↑ +127% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $51.10 | ↑ +154% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $58.40 | ↑ +190% |
| MEDI-CAL | MEDI-CAL | $73.00 | ↑ +262% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $73.00 | ↑ +262% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $73.00 | ↑ +262% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $73.00 | ↑ +262% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $73.00 | ↑ +262% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $73.00 | ↑ +262% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $86.94 | ↑ +332% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $94.90 | ↑ +371% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $109.50 | ↑ +444% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $109.50 | ↑ +444% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $146.00 | ↑ +625% |
| KAISER MCR ADV | KAISER MCR ADV | $375.45 | ↑ +1764% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $375.45 | ↑ +1764% |
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $375.45 | ↑ +1764% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $375.45 | ↑ +1764% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $375.45 | ↑ +1764% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $375.45 | ↑ +1764% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $375.45 | ↑ +1764% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $589.46 | ↑ +2827% |
| AETNA MCR ADV | AETNA MCR ADV | $619.49 | ↑ +2976% |
Visitor-reported prices
Comments
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 |
| 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 |
| WILLITS HOSPITAL INC | Willits | $39.30 | $33.92 – $407.41 |