Close tear duct opening at HANFORD COMMUNITY HOSPITAL

115 Mall Dr Hanford CA 93230|1141 Rose Avenue, Selma, CA · Adventisthealth · · NPI 1538141627

Source: hospital's published price file ↗ · Published Aug 1, 2026 · Ingested Sep 16, 2026

$98.04

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$516.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$129.00 with UPN MCAL PROFEE vs $408.24 with UPN MCR ADV PROFEE - ALL OTHER 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 →

Payer
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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
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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
UPN MCAL PROFEE UPN MCAL PROFEE $129.00 ↑ +32%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $132.63 ↑ +35%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $132.63 ↑ +35%
UHC MCR ADV UHC MCR ADV $132.63 ↑ +35%
FHCN PACE MCR ADV-ALL PLANS FHCN PACE MCR ADV-ALL PLANS $132.63 ↑ +35%
PRIME HEALTH MCR ADV- ALL PLANS PRIME HEALTH MCR ADV- ALL PLANS $132.63 ↑ +35%
SANTE IPA MCAL/MCARE HMO PROFEE ONLY SANTE IPA MCAL/MCARE HMO PROFEE ONLY $132.63 ↑ +35%
KAISER MCAL KAISER MCAL $137.38 ↑ +40%
BC MCAL BC MCAL $137.38 ↑ +40%
UNIVERSAL HC MCAL PROFEE UNIVERSAL HC MCAL PROFEE $137.38 ↑ +40%
MEDI-CAL MEDI-CAL $137.38 ↑ +40%
HEALTHNET MCAL HEALTHNET MCAL $137.38 ↑ +40%
CENTRAL VALLEY MED PROV PROFEE ONLY-ALL PLANS CENTRAL VALLEY MED PROV PROFEE ONLY-ALL PLANS $139.26 ↑ +42%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $145.89 ↑ +49%
SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS $159.16 ↑ +62%
AETNA- ALL OTHER PLANS AETNA- ALL OTHER PLANS $159.95 ↑ +63%
CIGNA- ALL PLANS CIGNA- ALL PLANS $170.08 ↑ +73%
KAISER MCR ADV KAISER MCR ADV $179.05 ↑ +83%
KAISER - ALL OTHER PLANS KAISER - ALL OTHER PLANS $179.05 ↑ +83%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $184.36 ↑ +88%
UHC CSP UHC CSP $190.64 ↑ +94%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $190.64 ↑ +94%
UHC HMO UHC HMO $190.64 ↑ +94%
UHC JLL UHC JLL $190.64 ↑ +94%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $193.24 ↑ +97%
VALLEY CHILDRENS - ALL PLANS VALLEY CHILDRENS - ALL PLANS $230.80 ↑ +135%
BLUE SHIELD EPN BLUE SHIELD EPN $298.76 ↑ +205%
BLUE SHIELD NON-EPN - ALL OTHER PLANS BLUE SHIELD NON-EPN - ALL OTHER PLANS $315.73 ↑ +222%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $393.91 ↑ +302%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $393.91 ↑ +302%
UNIVERSAL HC MCR ADV PROFEE - ALL OTHER PLANS UNIVERSAL HC MCR ADV PROFEE - ALL OTHER PLANS $408.24 ↑ +316%
UPN MCR ADV PROFEE - ALL OTHER PLANS UPN MCR ADV PROFEE - ALL OTHER PLANS $408.24 ↑ +316%

Visitor-reported prices

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Close tear duct opening at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,131.20 not published
Antioch Medical Center ANTIOCH $1,131.20 not published
Redwood City Medical Center Redwood City $1,131.20 not published
Santa Clara Medical Center SANTA CLARA $1,131.20 not published
Fremont Medical Center FREMONT $1,131.20 not published
Sacramento Medical Center SACRAMENTO $1,131.20 not published
Oakland Medical Center Oakland $1,131.20 not published
Walnut Creek Medical Center WALNUT CREEK $1,131.20 not published

All California hospitals for this procedure →