Screen/visual acuity/bilat/quant 99173 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$41.23
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.
$217.00
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.
$0.08 with DIGNITY MCR ADV OP/PROFEE ONLY vs $130.00 with CENTRAL CA ALLIANCE CHDP PROFEE ONLY — 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 |
|---|---|---|---|
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.08 | ↓ -100% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $3.65 | ↓ -91% |
| UHC JLL CSP | UHC JLL CSP | $3.71 | ↓ -91% |
| UHC HMO | UHC HMO | $3.71 | ↓ -91% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $3.71 | ↓ -91% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $3.73 | ↓ -91% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $3.77 | ↓ -91% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $3.94 | ↓ -90% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $4.88 | ↓ -88% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $4.88 | ↓ -88% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $11.66 | ↓ -72% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $12.18 | ↓ -70% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $12.88 | ↓ -69% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $14.00 | ↓ -66% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $19.50 | ↓ -53% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $22.40 | ↓ -46% |
| MEDI-CAL | MEDI-CAL | $28.00 | ↓ -32% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $28.00 | ↓ -32% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $28.00 | ↓ -32% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $30.80 | ↓ -25% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $33.35 | ↓ -19% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $36.40 | ↓ -12% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $45.50 | ↑ +10% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $65.00 | ↑ +58% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $65.00 | ↑ +58% |
| BC MCAL | BC MCAL | $65.00 | ↑ +58% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $97.50 | ↑ +136% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $97.50 | ↑ +136% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $130.00 | ↑ +215% |
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 |
| ST HELENA HOSPITAL | Vallejo | $19.65 | $36.00 – $36.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $41.23 | $102.00 – $2,557.00 |