Art byp grft aorcel/aormesen at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$1,658.61
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.
$6,143.00
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.
$65.00 with MEDI-CAL vs $3,854.94 with BLUE CROSS NON-MCS- ALL OTHER 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $65.00 | ↓ -96% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $65.00 | ↓ -96% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,683.20 | ↑ +1% |
| UHC MCR ADV | UHC MCR ADV | $1,683.20 | ↑ +1% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,683.20 | ↑ +1% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1,683.20 | ↑ +1% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1,834.69 | ↑ +11% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,851.52 | ↑ +12% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $1,935.68 | ↑ +17% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,988.53 | ↑ +20% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $2,019.84 | ↑ +22% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $2,282.33 | ↑ +38% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $2,339.65 | ↑ +41% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $2,452.42 | ↑ +48% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $2,524.80 | ↑ +52% |
| UHC JLL CSP | UHC JLL CSP | $2,580.16 | ↑ +56% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $2,580.16 | ↑ +56% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $3,169.75 | ↑ +91% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $3,349.72 | ↑ +102% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $3,854.94 | ↑ +132% |
Visitor-reported prices
Comments
Art byp grft aorcel/aormesen at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,167.17 | $56.64 – $3,779.45 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,167.17 | $30.00 – $3,779.45 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $921.45 | $246.09 – $3,854.94 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $4,054.38 | $246.09 – $3,349.72 |
| WILLITS HOSPITAL INC | Willits | $1,842.90 | $1,230.82 – $4,153.79 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $430.01 | $65.00 – $3,779.45 |
| SONORA COMMUNITY HOSPITAL | Sonora | $1,044.31 | $30.00 – $4,153.79 |
| ADVENTIST HEALTH TULARE | Tulare | $1,167.17 | $35.00 – $3,589.96 |