Annual Physical, New Patient (age 40-64) at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$85.32
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.
$316.00
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.
$92.55 with AETNA-ALL PLANS 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 →
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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 |
|---|---|---|---|
| AETNA-ALL PLANS | AETNA-ALL PLANS | $92.55 | ↑ +8% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $132.72 | ↑ +56% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $133.67 | ↑ +57% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $135.90 | ↑ +59% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $155.34 | ↑ +82% |
| UHC JLL CSP | UHC JLL CSP | $155.34 | ↑ +82% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $156.00 | ↑ +83% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $158.00 | ↑ +85% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $158.00 | ↑ +85% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $164.07 | ↑ +92% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $167.48 | ↑ +96% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $182.30 | ↑ +114% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $243.32 | ↑ +185% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $284.40 | ↑ +233% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $304.25 | ↑ +257% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +257% |
| HEALTHNET MCARE | HEALTHNET MCARE | $304.25 | ↑ +257% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $312.00 | ↑ +266% |
| MEDI-CAL | MEDI-CAL | $312.00 | ↑ +266% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $316.00 | ↑ +270% |
| BC MCAL | BC MCAL | $325.48 | ↑ +281% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $387.73 | ↑ +354% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $389.44 | ↑ +356% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $407.64 | ↑ +378% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +513% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $684.56 | ↑ +702% |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 40-64) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $197.37 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $180.77 | $132.20 – $347.49 |
| St. Mary Medical Center | Long Beach | $132.87 | $77.25 – $661.00 |
| Glendale Memorial Hospital Health Center | Glendale | $105.30 | $80.75 – $559.21 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $60.04 | $3.41 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $44.85 | $146.50 – $299.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $59.28 | $128.92 – $524.16 |