Aco ccm; at least 20 min 99490aco at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$42.12
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.
?
What you pay up front if you don't use insurance.
$156.00
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.
?
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
?
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 →
?
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 |
|---|---|---|---|
| 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
Comments
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 |