Unlisted procedure microbiology at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$84.17
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.
$443.00
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.
$176.98 with UHC JLL CSP vs $575.90 with COMMUNITY CARE IPA MCAL-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 |
|---|---|---|---|
| UHC JLL CSP | UHC JLL CSP | $176.98 | ↑ +110% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $184.55 | ↑ +119% |
| UHC HMO | UHC HMO | $186.28 | ↑ +121% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $186.28 | ↑ +121% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $192.71 | ↑ +129% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $195.81 | ↑ +133% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $203.78 | ↑ +142% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $205.06 | ↑ +144% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $205.06 | ↑ +144% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $221.50 | ↑ +163% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $226.82 | ↑ +169% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $241.44 | ↑ +187% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $287.95 | ↑ +242% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $354.40 | ↑ +321% |
| CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $443.00 | ↑ +426% |
| KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $443.00 | ↑ +426% |
| MEDI-CAL | MEDI-CAL | $443.00 | ↑ +426% |
| DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $487.30 | ↑ +479% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $527.61 | ↑ +527% |
| COMMUNITY CARE IPA MCAL-ALL PLANS | COMMUNITY CARE IPA MCAL-ALL PLANS | $575.90 | ↑ +584% |
Visitor-reported prices
Comments
Unlisted procedure microbiology at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $571.71 | not published |
| Arroyo Grande Hospital | Santa Maria | $166.86 | $91.13 – $382.05 |
| French Hospital | San Luis Obispo | $152.82 | $105.26 – $382.05 |
| Queen of The Valley Medical Center | Napa | $544.68 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $653.82 | not published |
| Redwood Memorial Hospital | Fortuna | $544.68 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $544.68 | not published |
| Northridge Hospital Medical Center | Northridge | $97.65 | $49.00 – $350.00 |