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

1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376

Source: hospital's published price file ↗ · Published May 23, 2026 · Ingested Sep 16, 2026

$29.75

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.

$175.00

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.

$47.00 with KAISER - ALL PLANS vs $94.00 with CENTRAL CA ALLIANCE CHDP MCAL — 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
KAISER - ALL PLANS KAISER - ALL PLANS $47.00 ↑ +58%
UHC SELECT UHC SELECT $48.30 ↑ +62%
UHC JLL BP UHC JLL BP $52.14 ↑ +75%
UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $54.89 ↑ +85%
BC EXCHANGE BC EXCHANGE $56.35 ↑ +89%
BC NON-MCS - ALL OTHER PLANS BC NON-MCS - ALL OTHER PLANS $62.61 ↑ +110%
BC MCS BC MCS $62.61 ↑ +110%
CELTIC CA HLTH WELL MCAL - ALL PLANS CELTIC CA HLTH WELL MCAL - ALL PLANS $62.64 ↑ +111%
HEALTHNET MCAL HEALTHNET MCAL $62.64 ↑ +111%
CENTRAL CA ALLIANCE MCAL CENTRAL CA ALLIANCE MCAL $62.64 ↑ +111%
BC MCAL BC MCAL $62.64 ↑ +111%
MEDI-CAL MEDI-CAL $62.64 ↑ +111%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $64.18 ↑ +116%
CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY CENTRAL CA ALLIANCE MCR ADV PROFEE ONLY $64.18 ↑ +116%
BLUE SHIELD MCARE BLUE SHIELD MCARE $64.18 ↑ +116%
UHC MCR ADV UHC MCR ADV $64.18 ↑ +116%
HEALTHNET MCR ADV HEALTHNET MCR ADV $64.18 ↑ +116%
PHS PRIME HEALTH SRVCS-ALL PLANS PHS PRIME HEALTH SRVCS-ALL PLANS $64.18 ↑ +116%
AETNA MCR ADV AETNA MCR ADV $64.18 ↑ +116%
AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $65.32 ↑ +120%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $67.68 ↑ +127%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $70.60 ↑ +137%
BLUE SHIELD EPN BLUE SHIELD EPN $71.25 ↑ +139%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $71.44 ↑ +140%
TRPN - THREE RIVERS PPO - ALL PLANS TRPN - THREE RIVERS PPO - ALL PLANS $75.20 ↑ +153%
CIGNA PPO - ALL PLANS CIGNA PPO - ALL PLANS $78.94 ↑ +165%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $79.90 ↑ +169%
GREATWEST OA/POS/HMO GREATWEST OA/POS/HMO $79.90 ↑ +169%
UHC PPO UHC PPO $80.82 ↑ +172%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $82.34 ↑ +177%
GREATWEST PPO - ALL OTHER PLANS GREATWEST PPO - ALL OTHER PLANS $83.43 ↑ +180%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $84.60 ↑ +184%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $84.60 ↑ +184%
AFFORDABLE HEALTH - ALL PLANS AFFORDABLE HEALTH - ALL PLANS $84.60 ↑ +184%
INTERPLAN - ALL PLANS INTERPLAN - ALL PLANS $84.60 ↑ +184%
STANILAUS FOUNDATION - ALL PLANS STANILAUS FOUNDATION - ALL PLANS $89.30 ↑ +200%
CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA $93.96 ↑ +216%
CENTRAL CA ALLIANCE CCS MCAL CENTRAL CA ALLIANCE CCS MCAL $93.96 ↑ +216%
CENTRAL CA ALLIANCE CHDP MCAL CENTRAL CA ALLIANCE CHDP MCAL $94.00 ↑ +216%

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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
HANFORD COMMUNITY HOSPITAL Selma $33.06 $62.64 – $206.85
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

All California hospitals for this procedure →