Advance care planning each additional 30 min 99498 at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$23.25
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.
$155.00
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.
$47.88 with UHC SELECT/SELECT PLUS vs $97.20 with GALAXY NETWORK-ALL 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 →
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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 |
|---|---|---|---|
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $47.88 | ↑ +106% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $48.60 | ↑ +109% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $50.11 | ↑ +116% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $50.87 | ↑ +119% |
| UHC JLL | UHC JLL | $51.57 | ↑ +122% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $54.28 | ↑ +133% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $56.16 | ↑ +142% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $59.40 | ↑ +155% |
| MEDI-CAL | MEDI-CAL | $62.64 | ↑ +169% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $62.64 | ↑ +169% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $66.21 | ↑ +185% |
| UMR UHC PPO | UMR UHC PPO | $68.74 | ↑ +196% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $68.85 | ↑ +196% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $69.28 | ↑ +198% |
| UHC MCR ADV | UHC MCR ADV | $69.28 | ↑ +198% |
| BLUE SHIELD BH MCR ADV | BLUE SHIELD BH MCR ADV | $69.28 | ↑ +198% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $69.28 | ↑ +198% |
| VA MCR - ALL OTHER PLANS | VA MCR - ALL OTHER PLANS | $69.28 | ↑ +198% |
| KAISER MCR ADV | KAISER MCR ADV | $69.28 | ↑ +198% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $70.20 | ↑ +202% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $71.58 | ↑ +208% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $75.60 | ↑ +225% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $76.21 | ↑ +228% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $79.53 | ↑ +242% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $79.53 | ↑ +242% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $81.00 | ↑ +248% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $83.14 | ↑ +258% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $86.40 | ↑ +272% |
| VA MEDI-CAL | VA MEDI-CAL | $89.85 | ↑ +286% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $91.80 | ↑ +295% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $97.20 | ↑ +318% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $97.20 | ↑ +318% |
Visitor-reported prices
Comments
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 |
| 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 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $12.46 | $62.64 – $206.85 |