Mopath procedure level 5 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$119.89
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.
$631.00
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.
$33.75 with HEALTHNET MEDI-CAL vs $2,203.80 with BLUE CROSS MCS - ALL OTHER 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 |
|---|---|---|---|
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $33.75 | ↓ -72% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $94.61 | ↓ -21% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $97.88 | ↓ -18% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $99.45 | ↓ -17% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $103.50 | ↓ -14% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $112.50 | ↓ -6% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $115.20 | ↓ -4% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $146.25 | ↑ +22% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $180.00 | ↑ +50% |
| MEDI-CAL | MEDI-CAL | $225.00 | ↑ +88% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $225.00 | ↑ +88% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $225.00 | ↑ +88% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $225.00 | ↑ +88% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $225.00 | ↑ +88% |
| UHC MCR ADV | UHC MCR ADV | $274.83 | ↑ +129% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $274.83 | ↑ +129% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $274.83 | ↑ +129% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $274.83 | ↑ +129% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $274.83 | ↑ +129% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $274.83 | ↑ +129% |
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $274.83 | ↑ +129% |
| KAISER MCR ADV | KAISER MCR ADV | $274.83 | ↑ +129% |
| BC MCAL | BC MCAL | $370.20 | ↑ +209% |
| UHC HMO | UHC HMO | $395.76 | ↑ +230% |
| UHC JLL CSP | UHC JLL CSP | $395.76 | ↑ +230% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $431.48 | ↑ +260% |
| AETNA MCR ADV | AETNA MCR ADV | $453.47 | ↑ +278% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $494.69 | ↑ +313% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $522.17 | ↑ +336% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $1,566.52 | ↑ +1207% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $1,740.58 | ↑ +1352% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $2,203.80 | ↑ +1738% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $627.20 | $120.00 – $120.00 |
| St. John's Camarillo Hospital | Camarillo | $394.20 | $171.00 – $729.21 |
| Antioch Medical Center | ANTIOCH | $627.20 | $120.00 – $120.00 |
| Redwood City Medical Center | Redwood City | $627.20 | $120.00 – $120.00 |
| Santa Clara Medical Center | SANTA CLARA | $627.20 | $120.00 – $120.00 |
| Fremont Medical Center | FREMONT | $627.20 | $120.00 – $120.00 |
| Banner Lassen Medical Center | Susanville | $342.77 | $54.97 – $453.47 |
| Sacramento Medical Center | SACRAMENTO | $627.20 | $120.00 – $120.00 |