Diagnostic radio unlisted proc at ADVENTIST HEALTH DELANO
1401 Garces Hwy, Delano, CA · Adventisthealth · · NPI 1144237272
$51.20
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.
$256.00
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.
$55.87 with ANTHEM MCAL vs $251.84 with CENTIVO - 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 →
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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 |
|---|---|---|---|
| ANTHEM MCAL | ANTHEM MCAL | $55.87 | ↑ +9% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $56.06 | ↑ +9% |
| UNIVERSAL CARE MCR- ALL OTHER PLANS | UNIVERSAL CARE MCR- ALL OTHER PLANS | $111.93 | ↑ +119% |
| KERN MCR ADV DUAL DNSP-ALL OTHER PLANS | KERN MCR ADV DUAL DNSP-ALL OTHER PLANS | $111.93 | ↑ +119% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $111.93 | ↑ +119% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $111.93 | ↑ +119% |
| UHC MCR ADV | UHC MCR ADV | $111.93 | ↑ +119% |
| BAKERSFIELD FAM MED GRP-ALL PLANS | BAKERSFIELD FAM MED GRP-ALL PLANS | $111.93 | ↑ +119% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $111.93 | ↑ +119% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $153.60 | ↑ +200% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $166.40 | ↑ +225% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $172.29 | ↑ +237% |
| UHC HMO | UHC HMO | $175.00 | ↑ +242% |
| OSCAR MEDICARE ADVANTAGE-ALL PLANS | OSCAR MEDICARE ADVANTAGE-ALL PLANS | $179.09 | ↑ +250% |
| COUNTY OF KERN NETWORK - ALL PLANS | COUNTY OF KERN NETWORK - ALL PLANS | $179.20 | ↑ +250% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $179.20 | ↑ +250% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $184.22 | ↑ +260% |
| UHC JLL | UHC JLL | $184.22 | ↑ +260% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $188.93 | ↑ +269% |
| FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | $192.00 | ↑ +275% |
| KAISER COMM IP/OP ONLY- ALL OTHER PLANS | KAISER COMM IP/OP ONLY- ALL OTHER PLANS | $192.52 | ↑ +276% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $201.47 | ↑ +293% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $204.80 | ↑ +300% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $207.36 | ↑ +305% |
| ANTHEM - ALL OTHER PLANS | ANTHEM - ALL OTHER PLANS | $213.02 | ↑ +316% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $251.84 | ↑ +392% |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $498.40 | not published |
| Antioch Medical Center | ANTIOCH | $498.40 | not published |
| Redwood City Medical Center | Redwood City | $498.40 | not published |
| Santa Clara Medical Center | SANTA CLARA | $498.40 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $124.80 | not published |
| Riverside Medical Center | RIVERSIDE | $124.80 | not published |
| Fremont Medical Center | FREMONT | $498.40 | not published |
| Panorama Medical Center | PANORAMA CITY | $124.80 | not published |