Advance care planning each additional 30 min 99498 at HANFORD COMMUNITY HOSPITAL

115 Mall Dr Hanford CA 93230|1141 Rose Avenue, Selma, CA · Adventisthealth · · NPI 1538141627

Source: hospital's published price file ↗ · Published Aug 1, 2026 · Ingested Sep 16, 2026

$33.06

Cash price

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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.

$174.00

Gross charge

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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.

$43.50 with UPN MCAL PROFEE vs $206.85 with BLUE CROSS MCS - ALL OTHER 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 →

Payer
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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
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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 $43.50 ↑ +32%
MEDI-CAL MEDI-CAL $62.64 ↑ +89%
HEALTHNET MCAL HEALTHNET MCAL $62.64 ↑ +89%
BC MCAL BC MCAL $62.64 ↑ +89%
KAISER MCAL KAISER MCAL $62.64 ↑ +89%
UNIVERSAL HC MCAL PROFEE UNIVERSAL HC MCAL PROFEE $62.64 ↑ +89%
UHC MCR ADV UHC MCR ADV $64.18 ↑ +94%
UNIVERSAL HC MCR ADV PROFEE - ALL OTHER PLANS UNIVERSAL HC MCR ADV PROFEE - ALL OTHER PLANS $64.18 ↑ +94%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $64.18 ↑ +94%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $64.18 ↑ +94%
PRIME HEALTH MCR ADV- ALL PLANS PRIME HEALTH MCR ADV- ALL PLANS $64.18 ↑ +94%
UPN MCR ADV PROFEE - ALL OTHER PLANS UPN MCR ADV PROFEE - ALL OTHER PLANS $64.18 ↑ +94%
FHCN PACE MCR ADV-ALL PLANS FHCN PACE MCR ADV-ALL PLANS $64.18 ↑ +94%
CENTRAL VALLEY MED PROV PROFEE ONLY-ALL PLANS CENTRAL VALLEY MED PROV PROFEE ONLY-ALL PLANS $67.39 ↑ +104%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $70.60 ↑ +114%
CIGNA- ALL PLANS CIGNA- ALL PLANS $81.52 ↑ +147%
KAISER - ALL OTHER PLANS KAISER - ALL OTHER PLANS $86.64 ↑ +162%
KAISER MCR ADV KAISER MCR ADV $86.64 ↑ +162%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $89.21 ↑ +170%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $93.51 ↑ +183%
AETNA- ALL OTHER PLANS AETNA- ALL OTHER PLANS $95.57 ↑ +189%
UHC JLL UHC JLL $97.41 ↑ +195%
UHC CSP UHC CSP $97.41 ↑ +195%
UHC HMO UHC HMO $97.41 ↑ +195%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $97.41 ↑ +195%
VALLEY CHILDRENS - ALL PLANS VALLEY CHILDRENS - ALL PLANS $105.24 ↑ +218%
BLUE SHIELD EPN BLUE SHIELD EPN $109.70 ↑ +232%
BLUE SHIELD NON-EPN - ALL OTHER PLANS BLUE SHIELD NON-EPN - ALL OTHER PLANS $115.93 ↑ +251%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $206.85 ↑ +526%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $206.85 ↑ +526%

Visitor-reported prices

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Advance care planning each additional 30 min 99498 at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $131.21 $50.97 – $193.06
Mercy Medical Center Merced Merced $58.20 $62.64 – $113.00
REEDLEY COMMUNITY HOSPITAL Reedley $33.25 $2.10 – $206.85
ST HELENA HOSPITAL Vallejo $23.25 $62.64 – $229.36
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $26.10 $62.64 – $209.65
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $115.50 $20.67 – $115.93
WILLITS HOSPITAL INC Willits $52.50 $62.64 – $209.98
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $12.46 $62.64 – $206.85

All California hospitals for this procedure →