99381 initial comp preventive med less than 1 year new at HANFORD COMMUNITY HOSPITAL
115 Mall Dr Hanford CA 93230|1141 Rose Avenue, Selma, CA · Adventisthealth · · NPI 1538141627
$36.10
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.
$190.00
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.
$47.50 with UPN MCAL PROFEE vs $319.20 with VALLEY CHILDRENS - 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 |
|---|---|---|---|
| UPN MCAL PROFEE | UPN MCAL PROFEE | $47.50 | ↑ +32% |
| AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $81.57 | ↑ +126% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $87.51 | ↑ +142% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $101.58 | ↑ +181% |
| UHC JLL | UHC JLL | $101.58 | ↑ +181% |
| UHC HMO | UHC HMO | $101.58 | ↑ +181% |
| UHC CSP | UHC CSP | $101.58 | ↑ +181% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $133.00 | ↑ +268% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $152.00 | ↑ +321% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $153.39 | ↑ +325% |
| BLUE SHIELD NON-EPN - ALL OTHER PLANS | BLUE SHIELD NON-EPN - ALL OTHER PLANS | $162.10 | ↑ +349% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $175.56 | ↑ +386% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $175.56 | ↑ +386% |
| MEDI-CAL | MEDI-CAL | $190.00 | ↑ +426% |
| HEALTHNET MCAL | HEALTHNET MCAL | $190.00 | ↑ +426% |
| BC MCAL | BC MCAL | $190.00 | ↑ +426% |
| KAISER MCAL | KAISER MCAL | $190.00 | ↑ +426% |
| UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $190.00 | ↑ +426% |
| VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $319.20 | ↑ +784% |
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 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $28.50 | $58.55 – $267.90 |
| ADVENTIST HEALTH DELANO | Delano | $39.60 | $187.08 – $241.33 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $132.00 | $20.67 – $278.92 |