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
$16.50
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.
$110.00
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.
$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 →
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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 |
|---|---|---|---|
| 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
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 |
| 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 |