Aco ccm; at least 20 min 99490aco at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI

1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530

Source: hospital's published price file ↗ · Published May 21, 2026 · Ingested Sep 16, 2026

$42.12

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.

$156.00

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.

$64.71 with KAISER MEDI-CAL IP/OP ONLY vs $684.56 with CENTIVO - 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 →

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
KAISER MEDI-CAL IP/OP ONLY KAISER MEDI-CAL IP/OP ONLY $64.71 ↑ +54%
MEDI-CAL MEDI-CAL $64.71 ↑ +54%
UNIVERSAL IPA MCAL OP/PROFEE ONLY UNIVERSAL IPA MCAL OP/PROFEE ONLY $64.71 ↑ +54%
WESTERN GRWRS/PINNACLE - ALL PLANS WESTERN GRWRS/PINNACLE - ALL PLANS $65.52 ↑ +56%
BLUE SHIELD EPN- ALL OTHER PLANS BLUE SHIELD EPN- ALL OTHER PLANS $65.99 ↑ +57%
BC MCAL BC MCAL $66.65 ↑ +58%
AETNA-ALL PLANS AETNA-ALL PLANS $74.26 ↑ +76%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $78.00 ↑ +85%
KLHP-KERN LEGACY EPO -ALL OTHER PLANS KLHP-KERN LEGACY EPO -ALL OTHER PLANS $78.00 ↑ +85%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $79.39 ↑ +88%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $81.00 ↑ +92%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $82.68 ↑ +96%
KHS-KERN HLTH SYSTM MCAL KHS-KERN HLTH SYSTM MCAL $83.47 ↑ +98%
BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $90.00 ↑ +114%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $120.12 ↑ +185%
CIGNA- ALL PLANS CIGNA- ALL PLANS $121.84 ↑ +189%
COVENTRY- ALL PLANS COVENTRY- ALL PLANS $140.40 ↑ +233%
OSCAR HEALTH PLAN- ALL PLANS OSCAR HEALTH PLAN- ALL PLANS $166.06 ↑ +294%
KAISER MEDICARE IP/OP ONLY KAISER MEDICARE IP/OP ONLY $304.25 ↑ +622%
HEALTHNET MCARE HEALTHNET MCARE $304.25 ↑ +622%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $304.25 ↑ +622%
UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA $304.25 ↑ +622%
NETWORK PROVIDERS- ALL PLANS NETWORK PROVIDERS- ALL PLANS $389.44 ↑ +825%
KAISER IP/OP ONLY- ALL OTHER PLANS KAISER IP/OP ONLY- ALL OTHER PLANS $523.31 ↑ +1142%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $684.56 ↑ +1525%

Visitor-reported prices

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Aco ccm; at least 20 min 99490aco at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $29.64 $23.40 – $675.81
ST HELENA HOSPITAL Vallejo $9.15 $61.00 – $242.92
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $38.22 $30.68 – $1,014.93
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $102.96 $64.71 – $278.92
WILLITS HOSPITAL INC Willits $46.80 $64.71 – $407.41
RIDEOUT MEMORIAL HOSPITAL Marysville $20.90 $19.00 – $235.99
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $10.92 $62.12 – $267.99
SONORA COMMUNITY HOSPITAL Sonora $26.52 $64.71 – $251.89

All California hospitals for this procedure →