Bupivacaine 0.1 % epidural pca - 1 hour dose limit at ADVENTIST HEALTH DELANO

1401 Garces Hwy, Delano, CA · Adventisthealth · · NPI 1144237272

Source: hospital's published price file ↗ · Published Jul 29, 2026 · Ingested Sep 16, 2026

$9.32

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.

Full explanation →

What you pay up front if you don't use insurance.

$46.60

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$10.09 with BLUE SHIELD EPN - ALL OTHER PLANS vs $59.46 with KERN HEALTH SYSTEM MCAL — same scan, same building. Share

Negotiated rates by payer
?

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
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $10.09 ↑ +8%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $25.35 ↑ +172%
COVENTRY- ALL PLANS COVENTRY- ALL PLANS $27.66 ↑ +197%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $29.96 ↑ +221%
UHC HMO UHC HMO $31.51 ↑ +238%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $31.76 ↑ +241%
COUNTY OF KERN NETWORK - ALL PLANS COUNTY OF KERN NETWORK - ALL PLANS $32.27 ↑ +246%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $33.17 ↑ +256%
UHC JLL UHC JLL $33.17 ↑ +256%
AETNA- ALL PLANS AETNA- ALL PLANS $34.02 ↑ +265%
FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P $34.57 ↑ +271%
CIGNA- ALL PLANS CIGNA- ALL PLANS $36.87 ↑ +296%
ANTHEM - ALL OTHER PLANS ANTHEM - ALL OTHER PLANS $38.35 ↑ +311%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $39.18 ↑ +320%
DIGNTY HLTH MCAL OP ONLY DIGNTY HLTH MCAL OP ONLY $46.09 ↑ +395%
MEDI-CAL MEDI-CAL $46.09 ↑ +395%
KAISER MEDI-CAL IP/OP ONLY KAISER MEDI-CAL IP/OP ONLY $46.09 ↑ +395%
UNIVERSAL CARE MCAL UNIVERSAL CARE MCAL $46.09 ↑ +395%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $54.90 ↑ +489%
KERN HEALTH SYSTEM MCAL KERN HEALTH SYSTEM MCAL $59.46 ↑ +538%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Bupivacaine 0.1 % epidural pca - 1 hour dose limit at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $274.23 $0.01 – $0.01
St. John's Camarillo Hospital Camarillo $29.35 $18.09 – $52.26
Antioch Medical Center ANTIOCH $274.23 $0.01 – $0.01
Redwood City Medical Center Redwood City $274.23 $0.01 – $0.01
Santa Clara Medical Center SANTA CLARA $274.23 $0.01 – $0.01
Baldwin Park Medical Center BALDWIN PARK $254.64 $0.01 – $0.01
Riverside Medical Center RIVERSIDE $254.64 $0.01 – $0.01
Fremont Medical Center FREMONT $274.23 $0.01 – $0.01

All California hospitals for this procedure →