Off/op consltj new/est sf 20 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$34.77
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.
$183.00
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.
$1.96 with DIGNITY MCR ADV OP/PROFEE ONLY vs $220.00 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 | $1.96 | ↓ -94% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $33.00 | ↓ -5% |
| UHC JLL CSP | UHC JLL CSP | $43.95 | ↑ +26% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $45.83 | ↑ +32% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $46.26 | ↑ +33% |
| UHC HMO | UHC HMO | $46.26 | ↑ +33% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $47.85 | ↑ +38% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $50.60 | ↑ +46% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $50.92 | ↑ +46% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $50.92 | ↑ +46% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $55.00 | ↑ +58% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $59.62 | ↑ +71% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $59.95 | ↑ +72% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $68.75 | ↑ +98% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $71.50 | ↑ +106% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $77.00 | ↑ +121% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $88.00 | ↑ +153% |
| BC MCAL | BC MCAL | $110.00 | ↑ +216% |
| MEDI-CAL | MEDI-CAL | $110.00 | ↑ +216% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $110.00 | ↑ +216% |
| CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $110.00 | ↑ +216% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $110.00 | ↑ +216% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $110.00 | ↑ +216% |
| UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $110.00 | ↑ +216% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $131.01 | ↑ +277% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $143.00 | ↑ +311% |
| CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $165.00 | ↑ +375% |
| CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $165.00 | ↑ +375% |
| CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $220.00 | ↑ +533% |
Visitor-reported prices
Comments
Off/op consltj new/est sf 20 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $163.17 | $63.39 – $240.10 |
| Mercy Medical Center Merced | Merced | $70.04 | $81.60 – $136.00 |
| ST HELENA HOSPITAL | Vallejo | $33.60 | $84.07 – $224.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $20.90 | $77.82 – $184.80 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $19.20 | $61.60 – $163.20 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $120.78 | $20.67 – $159.50 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake | $37.44 | $104.00 – $171.60 |