Prolng off/op e/m ea 15 min 99417 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

$16.50

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.

$110.00

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.

$39.99 with CIGNA-ALL OTHER PLANS vs $110.00 with VA MEDI-CAL — 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
CIGNA-ALL OTHER PLANS CIGNA-ALL OTHER PLANS $39.99 ↑ +142%
UHC JLL UHC JLL $42.36 ↑ +157%
UHC SELECT/SELECT PLUS UHC SELECT/SELECT PLUS $42.36 ↑ +157%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $42.36 ↑ +157%
UHC OPTIONS PPO UHC OPTIONS PPO $42.36 ↑ +157%
PHCS-ALL PLANS PHCS-ALL PLANS $43.45 ↑ +163%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $48.21 ↑ +192%
BLUE SHIELD BEHAV HLTH BLUE SHIELD BEHAV HLTH $49.50 ↑ +200%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $50.95 ↑ +209%
AETNA-ALL PLANS AETNA-ALL PLANS $52.42 ↑ +218%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $55.30 ↑ +235%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $59.25 ↑ +259%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $63.20 ↑ +283%
HEALTH MANAGEMENT NETWORK-ALL PLANS HEALTH MANAGEMENT NETWORK-ALL PLANS $67.15 ↑ +307%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $67.44 ↑ +309%
UMR UHC PPO UMR UHC PPO $70.02 ↑ +324%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $71.10 ↑ +331%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $72.91 ↑ +342%
CHOICECARE-ALL PLANS CHOICECARE-ALL PLANS $77.00 ↑ +367%
MEDI-CAL MEDI-CAL $79.00 ↑ +379%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $81.00 ↑ +391%
BLUE CROSS NON MCS BLUE CROSS NON MCS $81.00 ↑ +391%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $82.50 ↑ +400%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $90.20 ↑ +447%
GALAXY NETWORK-ALL PLANS GALAXY NETWORK-ALL PLANS $99.00 ↑ +500%
VA MEDI-CAL VA MEDI-CAL $110.00 ↑ +567%

Visitor-reported prices

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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
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
WILLITS HOSPITAL INC Willits $39.30 $33.92 – $407.41

All California hospitals for this procedure →