Off/op cnsltj new/est mod 40 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$76.57
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.
$403.00
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.
$4.41 with DIGNITY MCR ADV OP/PROFEE ONLY vs $626.00 with CENTRAL CA ALLIANCE CHDP PROFEE ONLY — 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 | $4.41 | ↓ -94% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $93.90 | ↑ +23% |
| UHC JLL CSP | UHC JLL CSP | $125.04 | ↑ +63% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $130.40 | ↑ +70% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $131.62 | ↑ +72% |
| UHC HMO | UHC HMO | $131.62 | ↑ +72% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $136.16 | ↑ +78% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $143.98 | ↑ +88% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $144.89 | ↑ +89% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $144.89 | ↑ +89% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $156.50 | ↑ +104% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $169.65 | ↑ +122% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $170.59 | ↑ +123% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $174.98 | ↑ +129% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $195.63 | ↑ +155% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $219.10 | ↑ +186% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $250.40 | ↑ +227% |
| BC MCAL | BC MCAL | $313.00 | ↑ +309% |
| MEDI-CAL | MEDI-CAL | $313.00 | ↑ +309% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $313.00 | ↑ +309% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $313.00 | ↑ +309% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $313.00 | ↑ +309% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $313.00 | ↑ +309% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $313.00 | ↑ +309% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $372.78 | ↑ +387% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $406.90 | ↑ +431% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $469.50 | ↑ +513% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $469.50 | ↑ +513% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $626.00 | ↑ +718% |
Visitor-reported prices
Comments
Off/op cnsltj new/est mod 40 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $319.02 | $123.92 – $469.42 |
| Mercy Medical Center Merced | Merced | $121.03 | $134.00 – $235.00 |
| ST HELENA HOSPITAL | Vallejo | $70.50 | $189.09 – $470.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $59.47 | $174.98 – $525.84 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $72.75 | $136.90 – $379.93 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $265.98 | $20.67 – $363.00 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake | $62.28 | $173.00 – $285.45 |