Advance care planning each additional 30 min 99498 at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI

1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530

Source: hospital's published price file ↗ · Published May 21, 2026 · Ingested Sep 16, 2026

$47.25

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.

$62.64 with MEDI-CAL vs $523.31 with KAISER IP/OP ONLY- 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
MEDI-CAL MEDI-CAL $62.64 ↑ +33%
UNIVERSAL IPA MCAL OP/PROFEE ONLY UNIVERSAL IPA MCAL OP/PROFEE ONLY $62.64 ↑ +33%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $64.49 ↑ +36%
UHC MCR ADV UHC MCR ADV $64.49 ↑ +36%
HEALTHNET MCARE HEALTHNET MCARE $64.49 ↑ +36%
UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA $64.49 ↑ +36%
AETNA-ALL PLANS AETNA-ALL PLANS $69.62 ↑ +47%
NETWORK PROVIDERS- ALL PLANS NETWORK PROVIDERS- ALL PLANS $70.29 ↑ +49%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $70.94 ↑ +50%
WESTERN GRWRS/PINNACLE - ALL PLANS WESTERN GRWRS/PINNACLE - ALL PLANS $73.50 ↑ +56%
BLUE SHIELD EPN- ALL OTHER PLANS BLUE SHIELD EPN- ALL OTHER PLANS $74.03 ↑ +57%
OSCAR HEALTH PLAN- ALL PLANS OSCAR HEALTH PLAN- ALL PLANS $74.16 ↑ +57%
COVENTRY- ALL PLANS COVENTRY- ALL PLANS $77.39 ↑ +64%
CIGNA- ALL PLANS CIGNA- ALL PLANS $81.52 ↑ +73%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $87.50 ↑ +85%
KLHP-KERN LEGACY EPO -ALL OTHER PLANS KLHP-KERN LEGACY EPO -ALL OTHER PLANS $87.50 ↑ +85%
KAISER MEDI-CAL IP/OP ONLY KAISER MEDI-CAL IP/OP ONLY $89.85 ↑ +90%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $90.86 ↑ +92%
BC MCAL BC MCAL $92.55 ↑ +96%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $93.96 ↑ +99%
UHC JLL CSP UHC JLL CSP $95.67 ↑ +102%
UHC ALL PAYER- ALL OTHER PLANS UHC ALL PAYER- ALL OTHER PLANS $95.67 ↑ +102%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $96.74 ↑ +105%
BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $100.96 ↑ +114%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $110.25 ↑ +133%
KHS-KERN HLTH SYSTM MCAL KHS-KERN HLTH SYSTM MCAL $115.91 ↑ +145%
KAISER MEDICARE IP/OP ONLY KAISER MEDICARE IP/OP ONLY $304.25 ↑ +544%
KAISER IP/OP ONLY- ALL OTHER PLANS KAISER IP/OP ONLY- ALL OTHER PLANS $523.31 ↑ +1008%

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
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 →