Breast reconstruction tram flap 19367 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$1,155.58
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.
$6,082.00
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.
$51.50 with DIGNITY MCR ADV OP/PROFEE ONLY vs $4,865.60 with PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL 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 |
|---|---|---|---|
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $51.50 | ↓ -96% |
| BC MCAL | BC MCAL | $210.72 | ↓ -82% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $210.72 | ↓ -82% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $210.72 | ↓ -82% |
| MEDI-CAL | MEDI-CAL | $210.72 | ↓ -82% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $210.72 | ↓ -82% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $210.72 | ↓ -82% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $263.40 | ↓ -77% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $316.08 | ↓ -73% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $316.08 | ↓ -73% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $421.44 | ↓ -64% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $1,549.17 | ↑ +34% |
| UHC MCR ADV | UHC MCR ADV | $1,549.17 | ↑ +34% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,549.17 | ↑ +34% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $1,549.17 | ↑ +34% |
| SANTE IPA MCAL/MCARE HMO PROFEE ONLY | SANTE IPA MCAL/MCARE HMO PROFEE ONLY | $1,549.17 | ↑ +34% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $1,549.17 | ↑ +34% |
| LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | $1,549.17 | ↑ +34% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,704.09 | ↑ +47% |
| SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | $1,859.00 | ↑ +61% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $1,859.00 | ↑ +61% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $2,045.55 | ↑ +77% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $2,052.31 | ↑ +78% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $2,091.38 | ↑ +81% |
| KAISER MCR ADV | KAISER MCR ADV | $2,091.38 | ↑ +81% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $2,153.35 | ↑ +86% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $2,257.14 | ↑ +95% |
| UHC HMO | UHC HMO | $2,388.70 | ↑ +107% |
| UHC JLL CSP | UHC JLL CSP | $2,388.70 | ↑ +107% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,388.70 | ↑ +107% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $2,431.76 | ↑ +110% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $2,569.83 | ↑ +122% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $3,738.10 | ↑ +223% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $3,738.10 | ↑ +223% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $4,865.60 | ↑ +321% |
Visitor-reported prices
Comments
Breast reconstruction tram flap 19367 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HANFORD COMMUNITY HOSPITAL | Selma | $1,155.58 | $1,054.35 – $3,738.10 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $912.30 | $1,054.35 – $4,214.90 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $4,014.12 | $210.72 – $2,569.83 |
| WILLITS HOSPITAL INC | Willits | $1,824.60 | $1,054.35 – $3,749.54 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $425.74 | $95.00 – $3,738.10 |
| SONORA COMMUNITY HOSPITAL | Sonora | $1,033.94 | $1,054.35 – $3,749.54 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,642.14 | $210.72 – $4,214.90 |
| ADVENTIST HEALTH TULARE | Tulare | $1,155.58 | $95.00 – $3,240.39 |