Duodenal exclusion at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$1,127.65
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.
$5,935.00
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.
$52.36 with DIGNITY MCR ADV OP/PROFEE ONLY vs $4,748.00 with PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL 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 | $52.36 | ↓ -95% |
| BC MCAL | BC MCAL | $212.21 | ↓ -81% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $212.21 | ↓ -81% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $212.21 | ↓ -81% |
| MEDI-CAL | MEDI-CAL | $212.21 | ↓ -81% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $212.21 | ↓ -81% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $212.21 | ↓ -81% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $265.26 | ↓ -76% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $318.32 | ↓ -72% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $318.32 | ↓ -72% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $424.42 | ↓ -62% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $1,598.39 | ↑ +42% |
| UHC MCR ADV | UHC MCR ADV | $1,598.39 | ↑ +42% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,598.39 | ↑ +42% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $1,598.39 | ↑ +42% |
| SANTE IPA MCAL/MCARE HMO PROFEE ONLY | SANTE IPA MCAL/MCARE HMO PROFEE ONLY | $1,598.39 | ↑ +42% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $1,598.39 | ↑ +42% |
| LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | $1,598.39 | ↑ +42% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,758.23 | ↑ +56% |
| SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | $1,918.07 | ↑ +70% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $1,918.07 | ↑ +70% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $2,008.57 | ↑ +78% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $2,009.85 | ↑ +78% |
| KAISER MCR ADV | KAISER MCR ADV | $2,157.83 | ↑ +91% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $2,157.83 | ↑ +91% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $2,221.76 | ↑ +97% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $2,259.56 | ↑ +100% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $2,328.85 | ↑ +107% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $2,387.85 | ↑ +112% |
| UHC JLL CSP | UHC JLL CSP | $2,428.60 | ↑ +115% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,428.60 | ↑ +115% |
| UHC HMO | UHC HMO | $2,428.60 | ↑ +115% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $3,065.57 | ↑ +172% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $3,065.57 | ↑ +172% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $4,748.00 | ↑ +321% |
Visitor-reported prices
Comments
Duodenal exclusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HANFORD COMMUNITY HOSPITAL | Selma | $1,127.65 | $212.21 – $3,065.57 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $890.25 | $1,059.94 – $3,195.52 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $3,917.10 | $45.00 – $2,428.60 |
| WILLITS HOSPITAL INC | Willits | $1,780.50 | $75.00 – $3,080.96 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $415.45 | $75.00 – $3,065.57 |
| SONORA COMMUNITY HOSPITAL | Sonora | $1,008.95 | $75.00 – $3,080.96 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,602.45 | $45.00 – $3,195.52 |
| ADVENTIST HEALTH TULARE | Tulare | $1,127.65 | $75.00 – $2,662.67 |