Biopsy of heart lining at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$100.32
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.
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What you pay up front if you don't use insurance.
$528.00
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.
$6.46 with DIGNITY MCR ADV OP/PROFEE ONLY vs $815.82 with AETNA - ALL OTHER 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 |
|---|---|---|---|
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $6.46 | ↓ -94% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $220.75 | ↑ +120% |
| UHC MCR ADV | UHC MCR ADV | $220.75 | ↑ +120% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $220.75 | ↑ +120% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $220.75 | ↑ +120% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $220.75 | ↑ +120% |
| LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | $220.75 | ↑ +120% |
| MEDI-CAL | MEDI-CAL | $237.76 | ↑ +137% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $237.76 | ↑ +137% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $237.76 | ↑ +137% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $237.76 | ↑ +137% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $237.76 | ↑ +137% |
| BC MCAL | BC MCAL | $237.76 | ↑ +137% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $242.83 | ↑ +142% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $246.97 | ↑ +146% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $264.90 | ↑ +164% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $297.20 | ↑ +196% |
| KAISER MCR ADV | KAISER MCR ADV | $298.01 | ↑ +197% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $298.01 | ↑ +197% |
| UHC HMO | UHC HMO | $299.63 | ↑ +199% |
| UHC JLL CSP | UHC JLL CSP | $299.63 | ↑ +199% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $299.63 | ↑ +199% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $306.84 | ↑ +206% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $307.57 | ↑ +207% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $321.63 | ↑ +221% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $325.04 | ↑ +224% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $356.64 | ↑ +256% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $356.64 | ↑ +256% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $422.40 | ↑ +321% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $475.52 | ↑ +374% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $510.88 | ↑ +409% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $510.88 | ↑ +409% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $815.82 | ↑ +713% |
Visitor-reported prices
Comments
Biopsy of heart lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $3,640.00 | not published |
| Antioch Medical Center | ANTIOCH | $3,640.00 | not published |
| Redwood City Medical Center | Redwood City | $3,640.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $3,640.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $4,243.20 | not published |
| Riverside Medical Center | RIVERSIDE | $4,243.20 | not published |
| Fremont Medical Center | FREMONT | $3,640.00 | not published |
| Panorama Medical Center | PANORAMA CITY | $4,243.20 | not published |