Observation/inpatient hospital care mod severity 99235 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$73.34
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.
$386.00
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.
$4.77 with DIGNITY MCR ADV OP/PROFEE ONLY vs $308.80 with PHYSICIANS MED GROUP OP/PROFEE ONLY- 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 |
|---|---|---|---|
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $4.77 | ↓ -93% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $57.90 | ↓ -21% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $103.50 | ↑ +41% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $103.50 | ↑ +41% |
| BC MCAL | BC MCAL | $103.50 | ↑ +41% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $103.50 | ↑ +41% |
| MEDI-CAL | MEDI-CAL | $103.50 | ↑ +41% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $103.50 | ↑ +41% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $129.38 | ↑ +76% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $143.45 | ↑ +96% |
| UHC MCR ADV | UHC MCR ADV | $143.45 | ↑ +96% |
| KAISER MCR ADV | KAISER MCR ADV | $143.45 | ↑ +96% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $143.45 | ↑ +96% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $143.45 | ↑ +96% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $143.45 | ↑ +96% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $143.45 | ↑ +96% |
| LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | LASALLE MED ASSOC PROFEE ONLY - ALL PLANS | $143.45 | ↑ +96% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $143.45 | ↑ +96% |
| UHC JLL CSP | UHC JLL CSP | $154.21 | ↑ +110% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $155.25 | ↑ +112% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $155.25 | ↑ +112% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $157.80 | ↑ +115% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $160.81 | ↑ +119% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $162.31 | ↑ +121% |
| UHC HMO | UHC HMO | $162.31 | ↑ +121% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $167.91 | ↑ +129% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $172.14 | ↑ +135% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $177.56 | ↑ +142% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $178.68 | ↑ +144% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $178.68 | ↑ +144% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $192.32 | ↑ +162% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $193.00 | ↑ +163% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $207.00 | ↑ +182% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $209.21 | ↑ +185% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $210.37 | ↑ +187% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $225.22 | ↑ +207% |
| AETNA MCR ADV | AETNA MCR ADV | $236.69 | ↑ +223% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $241.25 | ↑ +229% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $308.80 | ↑ +321% |
Visitor-reported prices
Comments
Observation/inpatient hospital care mod severity 99235 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| ST HELENA HOSPITAL | Vallejo | $51.90 | $103.50 – $336.44 |
| HANFORD COMMUNITY HOSPITAL | Selma | $73.34 | $103.50 – $303.42 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $57.90 | $103.50 – $307.52 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $254.76 | $103.50 – $292.09 |
| WILLITS HOSPITAL INC | Willits | $165.90 | $103.50 – $308.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $27.86 | $103.50 – $303.42 |
| SONORA COMMUNITY HOSPITAL | Sonora | $65.62 | $103.50 – $308.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $104.22 | $103.50 – $523.31 |