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

Source: hospital's published price file ↗ · Published Jul 15, 2026 · Ingested Sep 16, 2026

$23.25

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.

$155.00

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.

$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 →

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
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

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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

All California hospitals for this procedure →