Unlisted px conjunctiva at REEDLEY COMMUNITY HOSPITAL
372 W Cypress Ave, Reedley, CA · Adventisthealth · · NPI 1336167550
$49.21
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.
$259.00
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.
$38.00 with AETNA - ALL OTHER PLANS vs $673.59 with AETNA MCR ADV — 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 |
|---|---|---|---|
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $38.00 | ↓ -23% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $38.85 | ↓ -21% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $74.00 | ↑ +50% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $74.00 | ↑ +50% |
| UPN MCR ADV PROFEE ONLY | UPN MCR ADV PROFEE ONLY | $77.70 | ↑ +58% |
| UHC JLL CSP | UHC JLL CSP | $103.47 | ↑ +110% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $107.90 | ↑ +119% |
| UHC HMO | UHC HMO | $108.91 | ↑ +121% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $108.91 | ↑ +121% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $112.67 | ↑ +129% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $119.14 | ↑ +142% |
| KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $129.50 | ↑ +163% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $140.38 | ↑ +185% |
| BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $161.88 | ↑ +229% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $168.35 | ↑ +242% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $181.30 | ↑ +268% |
| PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $207.20 | ↑ +321% |
| FHCN PACE MCR ADV-ALL PLANS | FHCN PACE MCR ADV-ALL PLANS | $408.24 | ↑ +730% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $408.24 | ↑ +730% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $408.24 | ↑ +730% |
| KAISER MCR ADV | KAISER MCR ADV | $408.24 | ↑ +730% |
| UHC MCR ADV | UHC MCR ADV | $408.24 | ↑ +730% |
| DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $408.24 | ↑ +730% |
| HEALTHNET- MCR ADV | HEALTHNET- MCR ADV | $408.24 | ↑ +730% |
| PHS PRIME HEALTH SRVCS | PHS PRIME HEALTH SRVCS | $408.24 | ↑ +730% |
| BRIGHT HEALTH MCR ADV - ALL PLANS | BRIGHT HEALTH MCR ADV - ALL PLANS | $640.93 | ↑ +1202% |
| AETNA MCR ADV | AETNA MCR ADV | $673.59 | ↑ +1269% |
Visitor-reported prices
Comments
Unlisted px conjunctiva at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $991.20 | not published |
| Antioch Medical Center | ANTIOCH | $991.20 | not published |
| Redwood City Medical Center | Redwood City | $991.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $991.20 | not published |
| Fremont Medical Center | FREMONT | $991.20 | not published |
| Sacramento Medical Center | SACRAMENTO | $991.20 | not published |
| Oakland Medical Center | Oakland | $991.20 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $991.20 | not published |