99391 periodic comp preventive med less than 1 year est at ADVENTIST HEALTH TULARE

869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711

Source: hospital's published price file ↗ · Published May 22, 2026 · Ingested Sep 16, 2026

$30.21

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.

Full explanation →

What you pay up front if you don't use insurance.

$159.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$32.86 with BLUE SHIELD EPN vs $159.00 with UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY — same scan, same building. Share

Negotiated rates by payer
?

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 $32.86 ↑ +9%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $45.45 ↑ +50%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $47.33 ↑ +57%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $48.88 ↑ +62%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $52.59 ↑ +74%
AETNA-ALL PLANS AETNA-ALL PLANS $52.62 ↑ +74%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $63.60 ↑ +111%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $67.60 ↑ +124%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $69.68 ↑ +131%
UHC JLL UHC JLL $71.56 ↑ +137%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $75.33 ↑ +149%
CIGNA-ALL PLANS CIGNA-ALL PLANS $86.28 ↑ +186%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $88.40 ↑ +193%
MEDI-CAL MEDI-CAL $104.00 ↑ +244%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $111.30 ↑ +268%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $114.40 ↑ +279%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $114.40 ↑ +279%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $135.20 ↑ +348%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $136.24 ↑ +351%
BLUE CROSS MCAL BLUE CROSS MCAL $159.00 ↑ +426%
UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $159.00 ↑ +426%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

99391 periodic comp preventive med less than 1 year est at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $96.57 $37.52 – $142.10
Healdsburg Hospital Healdsburg $107.10 not published
Redwood Memorial Hospital Fortuna $82.62 not published
Mercy Medical Center Merced Merced $161.71 $49.76 – $310.86
St. Mary Medical Center Long Beach $126.85 $44.78 – $295.00
Mercy Medical Center Redding Redding $45.13 $71.20 – $89.00
REEDLEY COMMUNITY HOSPITAL Reedley $38.76 $2.01 – $675.81
HANFORD COMMUNITY HOSPITAL Selma $30.21 $70.09 – $267.12

All California hospitals for this procedure →