Lap removal of rectum w/colostomy 45395 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$199.50
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.
$1,050.00
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.
$56.88 with DIGNITY MCR ADV OP/PROFEE ONLY vs $3,472.23 with BLUE CROSS NON-MCS — 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 | $56.88 | ↓ -71% |
| BC MCAL | BC MCAL | $155.00 | ↓ -22% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $155.00 | ↓ -22% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $155.00 | ↓ -22% |
| MEDI-CAL | MEDI-CAL | $155.00 | ↓ -22% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $155.00 | ↓ -22% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $155.00 | ↓ -22% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $193.75 | ↓ -3% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $232.50 | ↑ +17% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $232.50 | ↑ +17% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $310.00 | ↑ +55% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $840.00 | ↑ +321% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $1,774.90 | ↑ +790% |
| UHC MCR ADV | UHC MCR ADV | $1,774.90 | ↑ +790% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,774.90 | ↑ +790% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $1,774.90 | ↑ +790% |
| SANTE IPA MCAL/MCARE HMO PROFEE ONLY | SANTE IPA MCAL/MCARE HMO PROFEE ONLY | $1,774.90 | ↑ +790% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $1,774.90 | ↑ +790% |
| LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | $1,774.90 | ↑ +790% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,952.39 | ↑ +879% |
| SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS | $2,129.88 | ↑ +968% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $2,129.88 | ↑ +968% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $2,258.38 | ↑ +1032% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $2,266.21 | ↑ +1036% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $2,396.12 | ↑ +1101% |
| KAISER MCR ADV | KAISER MCR ADV | $2,396.12 | ↑ +1101% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $2,467.11 | ↑ +1137% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $2,583.39 | ↑ +1195% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $2,586.03 | ↑ +1196% |
| UHC HMO | UHC HMO | $2,638.25 | ↑ +1222% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,638.25 | ↑ +1222% |
| UHC JLL CSP | UHC JLL CSP | $2,638.25 | ↑ +1222% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $2,730.07 | ↑ +1268% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $3,472.23 | ↑ +1640% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $3,472.23 | ↑ +1640% |
Visitor-reported prices
Comments
Lap removal of rectum w/colostomy 45395 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HANFORD COMMUNITY HOSPITAL | Selma | $199.50 | $130.00 – $3,472.23 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $693.00 | $1,050.00 – $2,730.07 |
| WILLITS HOSPITAL INC | Willits | $315.00 | $155.00 – $3,580.39 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $283.50 | $289.65 – $3,635.88 |
| ADVENTIST HEALTH TULARE | Tulare | $199.50 | $160.00 – $3,094.17 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $210.00 | $66.41 – $2,730.07 |
| St. John's Camarillo Hospital | Camarillo | not published | $2,043.08 – $2,489.70 |
| Petaluma Valley Hospital | Petaluma | not published | $6,619.00 – $14,372.00 |