Prev med cnsl indiv apprx 45 at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$43.89
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.
?
What you pay up front if you don't use insurance.
$231.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$51.68 with BC MCAL vs $675.81 with AH EMPLOYEE HEALTH PLAN - ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BC MCAL | BC MCAL | $51.68 | ↑ +18% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $96.23 | ↑ +119% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $100.49 | ↑ +129% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $106.26 | ↑ +142% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $106.93 | ↑ +144% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $106.93 | ↑ +144% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $115.50 | ↑ +163% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $125.20 | ↑ +185% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $125.90 | ↑ +187% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $144.38 | ↑ +229% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $150.15 | ↑ +242% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $184.80 | ↑ +321% |
| MEDI-CAL | MEDI-CAL | $231.00 | ↑ +426% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $231.00 | ↑ +426% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $231.00 | ↑ +426% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $254.10 | ↑ +479% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $275.12 | ↑ +527% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $300.30 | ↑ +584% |
| KAISER MCR ADV | KAISER MCR ADV | $375.45 | ↑ +755% |
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $375.45 | ↑ +755% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $375.45 | ↑ +755% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $375.45 | ↑ +755% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $375.45 | ↑ +755% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $375.45 | ↑ +755% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $375.45 | ↑ +755% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $589.46 | ↑ +1243% |
| AETNA MCR ADV | AETNA MCR ADV | $619.49 | ↑ +1311% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $675.81 | ↑ +1440% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 45 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sequoia Hospital | Redwood City | $21.48 | $25.37 – $236.00 |
| ST HELENA HOSPITAL | Vallejo | $43.05 | $287.00 – $287.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $152.46 | $231.00 – $693.00 |
| WILLITS HOSPITAL INC | Willits | $69.30 | $231.00 – $407.41 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $16.17 | $52.84 – $330.10 |
| SONORA COMMUNITY HOSPITAL | Sonora | $39.27 | $152.00 – $343.96 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $62.37 | $231.00 – $684.56 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $46.20 | $231.00 – $504.83 |