Annual Physical, Established Patient (age 40-64) at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$49.40
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.
$260.00
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.
$2.78 with DIGNITY MCR ADV OP/PROFEE ONLY vs $619.49 with AETNA MCR ADV — 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 |
|---|---|---|---|
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.78 | ↓ -94% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $78.00 | ↑ +58% |
| UHC JLL CSP | UHC JLL CSP | $103.87 | ↑ +110% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $105.01 | ↑ +113% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $107.07 | ↑ +117% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $109.33 | ↑ +121% |
| UHC HMO | UHC HMO | $109.33 | ↑ +121% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $110.55 | ↑ +124% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $111.80 | ↑ +126% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $118.22 | ↑ +139% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $118.97 | ↑ +141% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $118.97 | ↑ +141% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $128.50 | ↑ +160% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $139.29 | ↑ +182% |
| BC MCAL | BC MCAL | $148.04 | ↑ +200% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $160.63 | ↑ +225% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $182.00 | ↑ +268% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $205.60 | ↑ +316% |
| MEDI-CAL | MEDI-CAL | $257.00 | ↑ +420% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $257.00 | ↑ +420% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $257.00 | ↑ +420% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $260.00 | ↑ +426% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $260.00 | ↑ +426% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $260.00 | ↑ +426% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $306.09 | ↑ +520% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $334.10 | ↑ +576% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $375.45 | ↑ +660% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $375.45 | ↑ +660% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $375.45 | ↑ +660% |
| KAISER MCR ADV | KAISER MCR ADV | $375.45 | ↑ +660% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $375.45 | ↑ +660% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $375.45 | ↑ +660% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $390.00 | ↑ +689% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $390.00 | ↑ +689% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $520.00 | ↑ +953% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $589.46 | ↑ +1093% |
| AETNA MCR ADV | AETNA MCR ADV | $619.49 | ↑ +1154% |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 40-64) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $137.19 | not published |
| Mercy Medical Center Merced | Merced | $217.85 | $109.90 – $418.77 |
| St. Mary Medical Center | Long Beach | $144.91 | $84.25 – $549.50 |
| Glendale Memorial Hospital Health Center | Glendale | $78.24 | $60.00 – $464.88 |
| ST HELENA HOSPITAL | Vallejo | $44.85 | $119.37 – $209.45 |
| HANFORD COMMUNITY HOSPITAL | Selma | $49.40 | $105.01 – $436.80 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $39.00 | $75.38 – $366.60 |