Screen/visual acuity/bilat/quant 99173 at ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
$19.65
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.
$131.00
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.
$15.96 with UHC SELECT/SELECT PLUS vs $36.00 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 |
|---|---|---|---|
| UHC SELECT/SELECT PLUS | UHC SELECT/SELECT PLUS | $15.96 | ↓ -19% |
| BLUE SHIELD BEHAV HLTH | BLUE SHIELD BEHAV HLTH | $16.20 | ↓ -18% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $16.70 | ↓ -15% |
| BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $16.96 | ↓ -14% |
| UHC JLL | UHC JLL | $17.19 | ↓ -13% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $18.09 | ↓ -8% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $18.72 | ↓ -5% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $19.80 | ↑ +1% |
| WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $20.88 | ↑ +6% |
| HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $22.07 | ↑ +12% |
| UMR UHC PPO | UMR UHC PPO | $22.91 | ↑ +17% |
| UHC OPTIONS PPO | UHC OPTIONS PPO | $22.95 | ↑ +17% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $23.40 | ↑ +19% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $23.86 | ↑ +21% |
| CHOICECARE-ALL PLANS | CHOICECARE-ALL PLANS | $25.20 | ↑ +28% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $26.51 | ↑ +35% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $26.51 | ↑ +35% |
| BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $27.00 | ↑ +37% |
| CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $28.80 | ↑ +47% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $29.52 | ↑ +50% |
| HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $30.60 | ↑ +56% |
| THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $32.40 | ↑ +65% |
| GALAXY NETWORK-ALL PLANS | GALAXY NETWORK-ALL PLANS | $32.40 | ↑ +65% |
| VA MEDI-CAL | VA MEDI-CAL | $36.00 | ↑ +83% |
Visitor-reported prices
Comments
Screen/visual acuity/bilat/quant 99173 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3.33 | $1.30 – $4.90 |
| Redwood Memorial Hospital | Fortuna | $6.12 | not published |
| Mercy Medical Center Merced | Merced | $6.18 | $7.20 – $11.88 |
| Dominican Hospital | Santa Cruz | $39.60 | $57.20 – $79.20 |
| St. Mary Medical Center | Long Beach | $9.89 | $5.75 – $23.00 |
| Mercy Medical Center Redding | Redding | $3.05 | $4.80 – $5.88 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $41.23 | $0.08 – $2,699.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $41.23 | $102.00 – $2,557.00 |