Crtj pericardial window/prtl resecj w/drg/bx at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$480.70
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.
$2,530.00
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.
$22.26 with DIGNITY MCR ADV OP/PROFEE ONLY vs $13,928.00 with BLUE CROSS EXCHANGE — 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 | $22.26 | ↓ -95% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $154.88 | ↓ -68% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $154.88 | ↓ -68% |
| MEDI-CAL | MEDI-CAL | $154.88 | ↓ -68% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $154.88 | ↓ -68% |
| BC MCAL | BC MCAL | $154.88 | ↓ -68% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $154.88 | ↓ -68% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $193.60 | ↓ -60% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $232.32 | ↓ -52% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $232.32 | ↓ -52% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $309.76 | ↓ -36% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $379.50 | ↓ -21% |
| UHC MCR ADV | UHC MCR ADV | $717.78 | ↑ +49% |
| KAISER MCR ADV | KAISER MCR ADV | $717.78 | ↑ +49% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $717.78 | ↑ +49% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $717.78 | ↑ +49% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $717.78 | ↑ +49% |
| SANTE IPA MCAL/MCARE HMO PROFEE ONLY | SANTE IPA MCAL/MCARE HMO PROFEE ONLY | $717.78 | ↑ +49% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $717.78 | ↑ +49% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $717.78 | ↑ +49% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $717.78 | ↑ +49% |
| LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | $717.78 | ↑ +49% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $789.56 | ↑ +64% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $861.34 | ↑ +79% |
| SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | $861.34 | ↑ +79% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $897.13 | ↑ +87% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $957.34 | ↑ +99% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $969.00 | ↑ +102% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $997.71 | ↑ +108% |
| UHC JLL CSP | UHC JLL CSP | $1,032.47 | ↑ +115% |
| UHC HMO | UHC HMO | $1,032.47 | ↑ +115% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,032.47 | ↑ +115% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,045.81 | ↑ +118% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $1,126.91 | ↑ +134% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $1,151.19 | ↑ +139% |
| AETNA MCR ADV | AETNA MCR ADV | $1,184.34 | ↑ +146% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $1,216.55 | ↑ +153% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $1,413.86 | ↑ +194% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $1,413.86 | ↑ +194% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $2,024.00 | ↑ +321% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $13,928.00 | ↑ +2797% |
Visitor-reported prices
Comments
Crtj pericardial window/prtl resecj w/drg/bx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,335.68 | $4,666.00 – $16,338.00 |
| St Jude Medical Center | Fullerton | $15,565.44 | $4,188.00 – $18,454.00 |
| Providence St Joseph Hospital Orange | Orange | $12,468.00 | $4,971.00 – $17,143.00 |
| Providence Holy Cross Medical Center | Mission Hills | $9,135.35 | $1,142.00 – $7,953.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $480.70 | $100.00 – $1,413.86 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $379.50 | $70.00 – $1,442.10 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $1,669.80 | $70.00 – $1,216.55 |
| WILLITS HOSPITAL INC | Willits | $759.00 | $717.78 – $1,553.90 |