Prolng off/op e/m ea 15 min 99417 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

$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.

Full explanation →

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.

Full explanation →

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
?

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

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

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

All California hospitals for this procedure →