Reconstruct ankle joint 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

$633.08

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.

Full explanation →

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

$3,332.00

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.

Full explanation →

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

$90.00 with BC MCAL vs $34,898.90 with UPN MCR ADV PROFEE - ALL OTHER PLANS — same scan, same building. Share

Negotiated rates by payer
?

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
BC MCAL BC MCAL $90.00 ↓ -86%
MEDI-CAL MEDI-CAL $90.00 ↓ -86%
UNIVERSAL HC MCAL PROFEE UNIVERSAL HC MCAL PROFEE $90.00 ↓ -86%
KAISER MCAL KAISER MCAL $90.00 ↓ -86%
HEALTHNET MCAL HEALTHNET MCAL $90.00 ↓ -86%
VALLEY CHILDRENS - ALL PLANS VALLEY CHILDRENS - ALL PLANS $151.20 ↓ -76%
UPN MCAL PROFEE UPN MCAL PROFEE $833.00 ↑ +32%
UHC MCR ADV UHC MCR ADV $883.62 ↑ +40%
FHCN PACE MCR ADV-ALL PLANS FHCN PACE MCR ADV-ALL PLANS $883.62 ↑ +40%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $883.62 ↑ +40%
PRIME HEALTH MCR ADV- ALL PLANS PRIME HEALTH MCR ADV- ALL PLANS $883.62 ↑ +40%
SANTE IPA MCAL/MCARE HMO PROFEE ONLY SANTE IPA MCAL/MCARE HMO PROFEE ONLY $883.62 ↑ +40%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $883.62 ↑ +40%
CENTRAL VALLEY MED PROV PROFEE ONLY-ALL PLANS CENTRAL VALLEY MED PROV PROFEE ONLY-ALL PLANS $927.80 ↑ +47%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $971.98 ↑ +54%
SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS SANTE IPA HMO PROFEE ONLY - ALL OTHER PLANS $1,060.34 ↑ +67%
CIGNA- ALL PLANS CIGNA- ALL PLANS $1,102.67 ↑ +74%
AETNA- ALL OTHER PLANS AETNA- ALL OTHER PLANS $1,133.39 ↑ +79%
KAISER - ALL OTHER PLANS KAISER - ALL OTHER PLANS $1,192.89 ↑ +88%
KAISER MCR ADV KAISER MCR ADV $1,192.89 ↑ +88%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $1,228.23 ↑ +94%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $1,287.43 ↑ +103%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,291.76 ↑ +104%
UHC JLL UHC JLL $1,291.76 ↑ +104%
UHC HMO UHC HMO $1,291.76 ↑ +104%
UHC CSP UHC CSP $1,291.76 ↑ +104%
BLUE SHIELD EPN BLUE SHIELD EPN $1,515.39 ↑ +139%
BLUE SHIELD NON-EPN - ALL OTHER PLANS BLUE SHIELD NON-EPN - ALL OTHER PLANS $1,601.43 ↑ +153%
BLUE CROSS NON-MCS BLUE CROSS NON-MCS $2,012.22 ↑ +218%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $2,012.22 ↑ +218%
UNIVERSAL HC MCR ADV PROFEE - ALL OTHER PLANS UNIVERSAL HC MCR ADV PROFEE - ALL OTHER PLANS $34,898.90 ↑ +5413%
UPN MCR ADV PROFEE - ALL OTHER PLANS UPN MCR ADV PROFEE - ALL OTHER PLANS $34,898.90 ↑ +5413%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Reconstruct ankle joint at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $633.08 $27.85 – $2,012.22
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $499.80 $890.99 – $34,898.90
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $2,199.12 $55.00 – $1,601.43
WILLITS HOSPITAL INC Willits $999.60 $185.41 – $2,088.45
SONORA COMMUNITY HOSPITAL Sonora $566.44 $61.00 – $2,088.45
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $899.64 $185.41 – $2,049.79
ADVENTIST HEALTH TULARE Tulare $633.08 $55.00 – $1,804.97
UKIAH ADVENTIST HOSPITAL Ukiah $666.40 $55.00 – $1,601.43

All California hospitals for this procedure →