Pr e&m preventive medicine initial comprehensive new patient 12-17 years at ADVENTIST HEALTH DELANO
1401 Garces Hwy, Delano, CA · Adventisthealth · · NPI 1144237272
$46.40
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.
$232.00
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.
$47.98 with BLUE SHIELD EPN - ALL OTHER PLANS vs $282.64 with KERN HEALTH SYSTEM MCAL — 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 |
|---|---|---|---|
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $47.98 | ↑ +3% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $131.46 | ↑ +183% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $142.42 | ↑ +207% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $147.45 | ↑ +218% |
| UHC HMO | UHC HMO | $149.78 | ↑ +223% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $153.37 | ↑ +231% |
| COUNTY OF KERN NETWORK - ALL PLANS | COUNTY OF KERN NETWORK - ALL PLANS | $153.37 | ↑ +231% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $157.66 | ↑ +240% |
| UHC JLL | UHC JLL | $157.66 | ↑ +240% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $161.70 | ↑ +248% |
| FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | $164.33 | ↑ +254% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $175.28 | ↑ +278% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $177.47 | ↑ +282% |
| ANTHEM - ALL OTHER PLANS | ANTHEM - ALL OTHER PLANS | $182.31 | ↑ +293% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $219.10 | ↑ +372% |
| UNIVERSAL CARE MCAL | UNIVERSAL CARE MCAL | $219.10 | ↑ +372% |
| MEDI-CAL | MEDI-CAL | $219.10 | ↑ +372% |
| DIGNTY HLTH MCAL OP ONLY | DIGNTY HLTH MCAL OP ONLY | $219.10 | ↑ +372% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $260.95 | ↑ +462% |
| KERN HEALTH SYSTEM MCAL | KERN HEALTH SYSTEM MCAL | $282.64 | ↑ +509% |
Visitor-reported prices
Comments
Pr e&m preventive medicine initial comprehensive new patient 12-17 years at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $151.85 | $58.99 – $223.44 |
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $134.93 | $94.35 – $259.38 |
| St. Mary Medical Center | Long Beach | $169.85 | $51.75 – $471.75 |
| Glendale Memorial Hospital Health Center | Glendale | $70.75 | $54.25 – $399.10 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $58.71 | $2.93 – $675.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $42.18 | $105.01 – $372.96 |