99394 periodic comp preventive med 12 to 17 years est at UKIAH ADVENTIST HOSPITAL

275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676

Source: hospital's published price file ↗ · Published May 24, 2026 · Ingested Sep 16, 2026

$45.80

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.

$229.00

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.

$66.41 with BLUE CROSS NON-MCS vs $280.46 with BLUE SHIELD MCR ADV — 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
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $66.41 ↑ +45%
BLUE CROSS MCS-ALL OTHER PLANS BLUE CROSS MCS-ALL OTHER PLANS $66.41 ↑ +45%
AETNA-ALL PLANS AETNA-ALL PLANS $77.75 ↑ +70%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $87.09 ↑ +90%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $87.25 ↑ +91%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $88.39 ↑ +93%
CIGNA-ALL PLANS CIGNA-ALL PLANS $106.55 ↑ +133%
UHC JLL CSP 1/1/25 UHC JLL CSP 1/1/25 $108.73 ↑ +137%
UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $112.97 ↑ +147%
MENDOCINO LCC DISTRICT-ALL PLANS MENDOCINO LCC DISTRICT-ALL PLANS $127.40 ↑ +178%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $130.53 ↑ +185%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $130.99 ↑ +186%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $137.20 ↑ +200%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $156.80 ↑ +242%
FOUNDATION FOR MEDICAL CARE-ALL PLANS FOUNDATION FOR MEDICAL CARE-ALL PLANS $171.75 ↑ +275%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $176.40 ↑ +285%
NETWORKS BY DESIGN-ALL PLANS NETWORKS BY DESIGN-ALL PLANS $183.20 ↑ +300%
PHCS MULTIPLAN-ALL PLANS PHCS MULTIPLAN-ALL PLANS $183.20 ↑ +300%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $187.78 ↑ +310%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $194.65 ↑ +325%
CHOICE CARE-ALL PLANS CHOICE CARE-ALL PLANS $194.65 ↑ +325%
HEALTH MGMT NETWORK-ALL PLANS HEALTH MGMT NETWORK-ALL PLANS $194.65 ↑ +325%
KAISER MEDI-CAL KAISER MEDI-CAL $196.00 ↑ +328%
MEDI-CAL MEDI-CAL $196.00 ↑ +328%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $280.46 ↑ +512%
KAISER MCR ADV KAISER MCR ADV $280.46 ↑ +512%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $280.46 ↑ +512%

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99394 periodic comp preventive med 12 to 17 years est at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $139.20 $54.07 – $204.82
Healdsburg Hospital Healdsburg $139.74 not published
Redwood Memorial Hospital Fortuna $109.65 not published
Mercy Medical Center Merced Merced $161.71 $78.65 – $310.86
St. Mary Medical Center Long Beach $147.92 $70.79 – $393.25
Glendale Memorial Hospital Health Center Glendale $35.86 $27.50 – $332.69
Mercy Medical Center Redding Redding $56.28 $88.80 – $111.00
REEDLEY COMMUNITY HOSPITAL Reedley $58.71 $2.48 – $675.81

All California hospitals for this procedure →