Pr e&m preventive medicine initial comprehensive new patient 12-17 years at HANFORD COMMUNITY HOSPITAL
115 Mall Dr Hanford CA 93230|1141 Rose Avenue, Selma, CA · Adventisthealth · · NPI 1538141627
$42.18
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.
$222.00
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.
$55.50 with UPN MCAL PROFEE vs $372.96 with VALLEY CHILDRENS - 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 |
|---|---|---|---|
| UPN MCAL PROFEE | UPN MCAL PROFEE | $55.50 | ↑ +32% |
| AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $105.01 | ↑ +149% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $116.54 | ↑ +176% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $135.90 | ↑ +222% |
| UHC JLL | UHC JLL | $135.90 | ↑ +222% |
| UHC HMO | UHC HMO | $135.90 | ↑ +222% |
| UHC CSP | UHC CSP | $135.90 | ↑ +222% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $155.40 | ↑ +268% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $177.60 | ↑ +321% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $187.70 | ↑ +345% |
| BLUE SHIELD NON-EPN - ALL OTHER PLANS | BLUE SHIELD NON-EPN - ALL OTHER PLANS | $198.36 | ↑ +370% |
| BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $203.23 | ↑ +382% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $203.23 | ↑ +382% |
| MEDI-CAL | MEDI-CAL | $222.00 | ↑ +426% |
| HEALTHNET MCAL | HEALTHNET MCAL | $222.00 | ↑ +426% |
| BC MCAL | BC MCAL | $222.00 | ↑ +426% |
| KAISER MCAL | KAISER MCAL | $222.00 | ↑ +426% |
| UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $222.00 | ↑ +426% |
| VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $372.96 | ↑ +784% |
Visitor-reported prices
Comments
Pr e&m preventive medicine initial comprehensive new patient 12-17 years at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $151.85 | $58.99 – $223.44 |
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $134.93 | $94.35 – $259.38 |
| St. Mary Medical Center | Long Beach | $169.85 | $51.75 – $471.75 |
| Glendale Memorial Hospital Health Center | Glendale | $70.75 | $54.25 – $399.10 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $58.71 | $2.93 – $675.81 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $33.30 | $75.38 – $313.02 |