Exc tendon sheath or cap lesion 26160 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$418.95
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.
$2,205.00
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.
$9.04 with DIGNITY MCR ADV OP/PROFEE ONLY vs $8,086.00 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 | $9.04 | ↓ -98% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $124.80 | ↓ -70% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $171.90 | ↓ -59% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $235.50 | ↓ -44% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $235.50 | ↓ -44% |
| MEDI-CAL | MEDI-CAL | $235.50 | ↓ -44% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $259.05 | ↓ -38% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $306.15 | ↓ -27% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $316.72 | ↓ -24% |
| UHC MCR ADV | UHC MCR ADV | $316.72 | ↓ -24% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $316.72 | ↓ -24% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $316.72 | ↓ -24% |
| SANTE IPA MCAL/MCARE HMO PROFEE ONLY | SANTE IPA MCAL/MCARE HMO PROFEE ONLY | $316.72 | ↓ -24% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $316.72 | ↓ -24% |
| LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | $316.72 | ↓ -24% |
| BC MCAL | BC MCAL | $317.22 | ↓ -24% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $348.39 | ↓ -17% |
| KAISER MCR ADV | KAISER MCR ADV | $375.45 | ↓ -10% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $375.45 | ↓ -10% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $375.45 | ↓ -10% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $379.62 | ↓ -9% |
| SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | $380.06 | ↓ -9% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $386.40 | ↓ -8% |
| UHC JLL CSP | UHC JLL CSP | $419.30 | ↑ +0% |
| UHC HMO | UHC HMO | $419.30 | ↑ +0% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $419.30 | ↑ +0% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $427.57 | ↑ +2% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $440.24 | ↑ +5% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $461.46 | ↑ +10% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $589.46 | ↑ +41% |
| AETNA MCR ADV | AETNA MCR ADV | $619.49 | ↑ +48% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $621.13 | ↑ +48% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $716.25 | ↑ +71% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $1,167.47 | ↑ +179% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $1,167.47 | ↑ +179% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $8,086.00 | ↑ +1830% |
Visitor-reported prices
Comments
Exc tendon sheath or cap lesion 26160 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $3,948.00 | not published |
| Antioch Medical Center | ANTIOCH | $3,948.00 | not published |
| Redwood City Medical Center | Redwood City | $3,948.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $3,948.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $728.00 | not published |
| Riverside Medical Center | RIVERSIDE | $728.00 | not published |
| Fremont Medical Center | FREMONT | $3,948.00 | not published |
| Panorama Medical Center | PANORAMA CITY | $728.00 | not published |