New Patient Office Visit (level 3) at ADVENTIST HEALTH DELANO
1401 Garces Hwy, Delano, CA · Adventisthealth · · NPI 1144237272
$49.80
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.
?
What you pay up front if you don't use insurance.
$249.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$54.53 with BLUE SHIELD EPN - ALL OTHER PLANS vs $207.19 with ANTHEM - ALL OTHER PLANS — 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 →
?
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 | $54.53 | ↑ +9% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $71.62 | ↑ +44% |
| BAKERSFIELD FAM MED GRP-ALL PLANS | BAKERSFIELD FAM MED GRP-ALL PLANS | $71.62 | ↑ +44% |
| UNIVERSAL CARE MCR- ALL OTHER PLANS | UNIVERSAL CARE MCR- ALL OTHER PLANS | $71.62 | ↑ +44% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $71.62 | ↑ +44% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $71.62 | ↑ +44% |
| UHC MCR ADV | UHC MCR ADV | $71.62 | ↑ +44% |
| KERN MCR ADV DUAL DNSP-ALL OTHER PLANS | KERN MCR ADV DUAL DNSP-ALL OTHER PLANS | $71.62 | ↑ +44% |
| DIGNTY HLTH MCAL OP ONLY | DIGNTY HLTH MCAL OP ONLY | $82.05 | ↑ +65% |
| MEDI-CAL | MEDI-CAL | $82.05 | ↑ +65% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $82.05 | ↑ +65% |
| UNIVERSAL CARE MCAL | UNIVERSAL CARE MCAL | $82.05 | ↑ +65% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $97.72 | ↑ +96% |
| ANTHEM MCAL | ANTHEM MCAL | $104.65 | ↑ +110% |
| KERN HEALTH SYSTEM MCAL | KERN HEALTH SYSTEM MCAL | $105.84 | ↑ +113% |
| OSCAR MEDICARE ADVANTAGE-ALL PLANS | OSCAR MEDICARE ADVANTAGE-ALL PLANS | $114.59 | ↑ +130% |
| KAISER COMM IP/OP ONLY- ALL OTHER PLANS | KAISER COMM IP/OP ONLY- ALL OTHER PLANS | $123.19 | ↑ +147% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $128.92 | ↑ +159% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $149.40 | ↑ +200% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $161.15 | ↑ +224% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $161.85 | ↑ +225% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $167.58 | ↑ +237% |
| UHC HMO | UHC HMO | $170.22 | ↑ +242% |
| COUNTY OF KERN NETWORK - ALL PLANS | COUNTY OF KERN NETWORK - ALL PLANS | $174.30 | ↑ +250% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $174.30 | ↑ +250% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $179.18 | ↑ +260% |
| UHC JLL | UHC JLL | $179.18 | ↑ +260% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $183.76 | ↑ +269% |
| FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | $186.75 | ↑ +275% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $199.20 | ↑ +300% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $201.69 | ↑ +305% |
| ANTHEM - ALL OTHER PLANS | ANTHEM - ALL OTHER PLANS | $207.19 | ↑ +316% |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $642.42 | $66.96 – $226.00 |
| Arroyo Grande Hospital | Santa Maria | $155.37 | $82.05 – $335.00 |
| Mark Twain Medical Center | San Andreas | $175.16 | $39.84 – $150.92 |
| French Hospital | San Luis Obispo | $142.30 | $82.05 – $328.30 |
| Bakersfield Memorial Hospital | Bakersfield | $116.71 | $101.90 – $232.00 |
| Healdsburg Hospital | Healdsburg | $475.83 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $198.75 | $82.05 – $554.32 |