Lens, intraocular (new tech) at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$369.55
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.
$1,945.00
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.
$260.07 with UHC JLL CSP vs $846.30 with COMMUNITY CARE IPA MCAL-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 |
|---|---|---|---|
| UHC JLL CSP | UHC JLL CSP | $260.07 | ↓ -30% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $271.21 | ↓ -27% |
| UHC HMO | UHC HMO | $273.75 | ↓ -26% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $273.75 | ↓ -26% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $283.19 | ↓ -23% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $299.46 | ↓ -19% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $301.35 | ↓ -18% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $301.35 | ↓ -18% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $325.50 | ↓ -12% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $352.84 | ↓ -5% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $354.80 | ↓ -4% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $406.88 | ↑ +10% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $423.15 | ↑ +15% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $520.80 | ↑ +41% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $651.00 | ↑ +76% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $651.00 | ↑ +76% |
| MEDI-CAL | MEDI-CAL | $651.00 | ↑ +76% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $716.10 | ↑ +94% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $775.34 | ↑ +110% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $846.30 | ↑ +129% |
Visitor-reported prices
Comments
Lens, intraocular (new tech) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baldwin Park Medical Center | BALDWIN PARK | $280.80 | not published |
| Riverside Medical Center | RIVERSIDE | $280.80 | not published |
| Banner Lassen Medical Center | Susanville | $985.03 | $579.33 – $1,370.61 |
| Panorama Medical Center | PANORAMA CITY | $280.80 | not published |
| Petaluma Valley Hospital | Petaluma | $1,213.80 | not published |
| Queen of The Valley Medical Center | Napa | $1,128.83 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $1,300.50 | not published |
| Healdsburg Hospital | Healdsburg | $797.64 | not published |