Prolng off/op e/m ea 15 min 99417 at UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
$21.20
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.
$106.00
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.
$25.48 with BLUE CROSS EXCHANGE vs $280.46 with KAISER 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 →
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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 CROSS EXCHANGE | BLUE CROSS EXCHANGE | $25.48 | ↑ +20% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $25.53 | ↑ +20% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $25.86 | ↑ +22% |
| BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $28.31 | ↑ +34% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $28.31 | ↑ +34% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $33.92 | ↑ +60% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $38.19 | ↑ +80% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $38.32 | ↑ +81% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $39.99 | ↑ +89% |
| UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $40.77 | ↑ +92% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $42.36 | ↑ +100% |
| MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $43.55 | ↑ +105% |
| FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $50.25 | ↑ +137% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $51.10 | ↑ +141% |
| NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $53.60 | ↑ +153% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $53.60 | ↑ +153% |
| PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $53.60 | ↑ +153% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $54.94 | ↑ +159% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $56.95 | ↑ +169% |
| CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $56.95 | ↑ +169% |
| HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $56.95 | ↑ +169% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $60.30 | ↑ +184% |
| KAISER MEDI-CAL | KAISER MEDI-CAL | $67.00 | ↑ +216% |
| MEDI-CAL | MEDI-CAL | $67.00 | ↑ +216% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $280.46 | ↑ +1223% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $280.46 | ↑ +1223% |
| KAISER MCR ADV | KAISER MCR ADV | $280.46 | ↑ +1223% |
Visitor-reported prices
Comments
Prolng off/op e/m ea 15 min 99417 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $34.17 | not published |
| Redwood Memorial Hospital | Fortuna | $53.55 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $20.14 | $37.36 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $16.50 | $39.99 – $110.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $13.87 | $37.36 – $122.64 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $15.75 | $30.52 – $125.06 |
| ADVENTIST HEALTH DELANO | Delano | $9.60 | $33.18 – $57.17 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $77.22 | $20.67 – $278.92 |