Biopsy of heart lining at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$142.56
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.
$528.00
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.
$222.12 with TRICARE BLUE SHIELD vs $918.37 with UHC JLL CSP — 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 |
|---|---|---|---|
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $222.12 | ↑ +56% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $222.12 | ↑ +56% |
| HEALTHNET MCARE | HEALTHNET MCARE | $222.12 | ↑ +56% |
| UHC MCR ADV | UHC MCR ADV | $222.12 | ↑ +56% |
| MEDI-CAL | MEDI-CAL | $237.76 | ↑ +67% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $237.76 | ↑ +67% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $242.11 | ↑ +70% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $244.33 | ↑ +71% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $246.97 | ↑ +73% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $248.08 | ↑ +74% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $255.44 | ↑ +79% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $266.54 | ↑ +87% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $307.57 | ↑ +116% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $308.75 | ↑ +117% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $323.63 | ↑ +127% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $325.04 | ↑ +128% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $333.18 | ↑ +134% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $521.03 | ↑ +265% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $918.37 | ↑ +544% |
| UHC JLL CSP | UHC JLL CSP | $918.37 | ↑ +544% |
Visitor-reported prices
Comments
Biopsy of heart lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $3,640.00 | not published |
| Antioch Medical Center | ANTIOCH | $3,640.00 | not published |
| Redwood City Medical Center | Redwood City | $3,640.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $3,640.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $4,243.20 | not published |
| Riverside Medical Center | RIVERSIDE | $4,243.20 | not published |
| Fremont Medical Center | FREMONT | $3,640.00 | not published |
| Panorama Medical Center | PANORAMA CITY | $4,243.20 | not published |