Correct rectal prolapse; abdominal approach 45540 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

$675.26

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.

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

$3,554.00

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.

$134.03 with BC MCAL vs $1,837.72 with BLUE CROSS MCS - 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
BC MCAL BC MCAL $134.03 ↓ -80%
MEDI-CAL MEDI-CAL $134.03 ↓ -80%
UNIVERSAL HC MCAL PROFEE UNIVERSAL HC MCAL PROFEE $134.03 ↓ -80%
HEALTHNET MCAL HEALTHNET MCAL $134.03 ↓ -80%
KAISER MCAL KAISER MCAL $134.03 ↓ -80%
UPN MCAL PROFEE UPN MCAL PROFEE $142.25 ↓ -79%
VALLEY CHILDRENS - ALL PLANS VALLEY CHILDRENS - ALL PLANS $225.17 ↓ -67%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $961.73 ↑ +42%
UHC MCR ADV UHC MCR ADV $961.73 ↑ +42%
SANTE IPA MCAL/MCARE HMO PROFEE ONLY SANTE IPA MCAL/MCARE HMO PROFEE ONLY $961.73 ↑ +42%
UPN MCR ADV PROFEE - ALL OTHER PLANS UPN MCR ADV PROFEE - ALL OTHER PLANS $961.73 ↑ +42%
PRIME HEALTH MCR ADV- ALL PLANS PRIME HEALTH MCR ADV- ALL PLANS $961.73 ↑ +42%
FHCN PACE MCR ADV-ALL PLANS FHCN PACE MCR ADV-ALL PLANS $961.73 ↑ +42%
UNIVERSAL HC MCR ADV PROFEE - ALL OTHER PLANS UNIVERSAL HC MCR ADV PROFEE - ALL OTHER PLANS $961.73 ↑ +42%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $961.73 ↑ +42%
CENTRAL VALLEY MED PROV PROFEE ONLY-ALL PLANS CENTRAL VALLEY MED PROV PROFEE ONLY-ALL PLANS $1,009.82 ↑ +50%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,057.90 ↑ +57%
SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS $1,154.08 ↑ +71%
AETNA- ALL OTHER PLANS AETNA- ALL OTHER PLANS $1,201.60 ↑ +78%
CIGNA- ALL PLANS CIGNA- ALL PLANS $1,205.95 ↑ +79%
KAISER MCR ADV KAISER MCR ADV $1,298.34 ↑ +92%
KAISER - ALL OTHER PLANS KAISER - ALL OTHER PLANS $1,298.34 ↑ +92%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $1,336.80 ↑ +98%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $1,401.24 ↑ +108%
UHC HMO UHC HMO $1,422.10 ↑ +111%
UHC CSP UHC CSP $1,422.10 ↑ +111%
UHC JLL UHC JLL $1,422.10 ↑ +111%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,422.10 ↑ +111%
BLUE SHIELD EPN BLUE SHIELD EPN $1,423.58 ↑ +111%
BLUE SHIELD NON-EPN - ALL OTHER PLANS BLUE SHIELD NON-EPN - ALL OTHER PLANS $1,504.41 ↑ +123%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $1,837.72 ↑ +172%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $1,837.72 ↑ +172%

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Correct rectal prolapse; abdominal approach 45540 at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $675.26 $30.66 – $1,837.72
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $533.10 $134.03 – $1,924.33
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $2,345.64 $35.00 – $1,504.41
WILLITS HOSPITAL INC Willits $1,066.20 $65.00 – $1,894.96
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $248.78 $40.00 – $1,837.72
SONORA COMMUNITY HOSPITAL Sonora $604.18 $65.00 – $1,894.96
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $959.58 $134.03 – $1,924.33
ADVENTIST HEALTH TULARE Tulare $675.26 $569.00 – $1,637.63

All California hospitals for this procedure →