Nqhp ol dig assmt&mgmt 11-20 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$10.26
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.
$54.00
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.
$22.50 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 | $22.50 | ↑ +119% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $23.49 | ↑ +129% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $24.84 | ↑ +142% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $25.00 | ↑ +144% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $25.00 | ↑ +144% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $27.00 | ↑ +163% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $29.27 | ↑ +185% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $29.43 | ↑ +187% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $33.75 | ↑ +229% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $35.10 | ↑ +242% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $43.20 | ↑ +321% |
| MEDI-CAL | MEDI-CAL | $54.00 | ↑ +426% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $54.00 | ↑ +426% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $54.00 | ↑ +426% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $59.40 | ↑ +479% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $64.31 | ↑ +527% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $70.20 | ↑ +584% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $375.45 | ↑ +3559% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $375.45 | ↑ +3559% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $375.45 | ↑ +3559% |
| KAISER MCR ADV | KAISER MCR ADV | $375.45 | ↑ +3559% |
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $375.45 | ↑ +3559% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $375.45 | ↑ +3559% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $375.45 | ↑ +3559% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $589.46 | ↑ +5645% |
| AETNA MCR ADV | AETNA MCR ADV | $619.49 | ↑ +5938% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $675.81 | ↑ +6487% |
Visitor-reported prices
Comments
Nqhp ol dig assmt&mgmt 11-20 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $11.25 | $19.41 – $100.50 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $35.64 | $54.00 – $278.92 |
| WILLITS HOSPITAL INC | Willits | $16.20 | $54.00 – $407.41 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $4.55 | $19.33 – $77.17 |
| SONORA COMMUNITY HOSPITAL | Sonora | $9.18 | $54.00 – $273.60 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $14.58 | $31.06 – $684.56 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $10.80 | $54.00 – $504.83 |
| Queen of The Valley Medical Center | Napa | not published | $20.80 – $20.80 |