Medical testimony at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$89.30
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.
$470.00
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.
$195.80 with BLUE CROSS EXCHANGE vs $675.81 with AH EMPLOYEE HEALTH PLAN - 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 |
|---|---|---|---|
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $195.80 | ↑ +119% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $204.45 | ↑ +129% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $216.20 | ↑ +142% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $217.56 | ↑ +144% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $217.56 | ↑ +144% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $235.00 | ↑ +163% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $254.74 | ↑ +185% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $256.15 | ↑ +187% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $293.75 | ↑ +229% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $305.50 | ↑ +242% |
| KAISER MCR ADV | KAISER MCR ADV | $375.45 | ↑ +320% |
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $375.45 | ↑ +320% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $375.45 | ↑ +320% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $375.45 | ↑ +320% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $375.45 | ↑ +320% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $375.45 | ↑ +320% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $375.45 | ↑ +320% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $376.00 | ↑ +321% |
| MEDI-CAL | MEDI-CAL | $470.00 | ↑ +426% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $470.00 | ↑ +426% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $470.00 | ↑ +426% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $517.00 | ↑ +479% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $559.77 | ↑ +527% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $589.46 | ↑ +560% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $611.00 | ↑ +584% |
| AETNA MCR ADV | AETNA MCR ADV | $619.49 | ↑ +594% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $675.81 | ↑ +657% |
Visitor-reported prices
Comments
Medical testimony at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| ST HELENA HOSPITAL | Vallejo | $50.55 | $82.75 – $337.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $310.20 | $278.92 – $1,410.00 |
| WILLITS HOSPITAL INC | Willits | $141.00 | $403.38 – $470.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $32.90 | $152.00 – $671.63 |
| SONORA COMMUNITY HOSPITAL | Sonora | $84.66 | $76.84 – $747.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $126.90 | $304.25 – $684.56 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO | $79.92 | $80.04 – $710.40 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $94.00 | $280.46 – $504.83 |