Screen/visual acuity/bilat/quant 99173 at SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
$11.73
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.
$69.00
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.
$3.73 with BLUE SHIELD EPN vs $97.50 with CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA — 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 |
|---|---|---|---|
| BLUE SHIELD EPN | BLUE SHIELD EPN | $3.73 | ↓ -68% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $3.94 | ↓ -66% |
| BC MCS | BC MCS | $4.89 | ↓ -58% |
| BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $4.89 | ↓ -58% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $4.91 | ↓ -58% |
| BC EXCHANGE | BC EXCHANGE | $13.39 | ↑ +14% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $16.00 | ↑ +36% |
| UHC SELECT | UHC SELECT | $16.44 | ↑ +40% |
| UHC JLL BP | UHC JLL BP | $17.75 | ↑ +51% |
| UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $18.68 | ↑ +59% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $21.44 | ↑ +83% |
| TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $25.60 | ↑ +118% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $27.20 | ↑ +132% |
| GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $27.20 | ↑ +132% |
| UHC PPO | UHC PPO | $27.51 | ↑ +135% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $28.03 | ↑ +139% |
| AFFORDABLE HEALTH - ALL PLANS | AFFORDABLE HEALTH - ALL PLANS | $28.80 | ↑ +146% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $28.80 | ↑ +146% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $28.80 | ↑ +146% |
| GREATWEST PPO - ALL OTHER PLANS | GREATWEST PPO - ALL OTHER PLANS | $28.80 | ↑ +146% |
| INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $28.80 | ↑ +146% |
| CIGNA PPO - ALL PLANS | CIGNA PPO - ALL PLANS | $30.40 | ↑ +159% |
| STANILAUS FOUNDATION - ALL PLANS | STANILAUS FOUNDATION - ALL PLANS | $30.40 | ↑ +159% |
| MEDI-CAL | MEDI-CAL | $32.00 | ↑ +173% |
| CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $36.26 | ↑ +209% |
| CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $36.26 | ↑ +209% |
| CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $36.26 | ↑ +209% |
| CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $44.13 | ↑ +276% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $45.50 | ↑ +288% |
| HEALTHNET MCAL | HEALTHNET MCAL | $47.65 | ↑ +306% |
| BC MCAL | BC MCAL | $65.00 | ↑ +454% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $97.50 | ↑ +731% |
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 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $41.23 | $0.08 – $2,699.00 |
| ST HELENA HOSPITAL | Vallejo | $19.65 | $36.00 – $36.00 |