Biopsy of salivary glnd;incisional 42405 at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$290.52
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.
$1,076.00
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.
$60.00 with MEDI-CAL vs $992.00 with BLUE CROSS EXCHANGE — 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 | $60.00 | ↓ -79% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $60.00 | ↓ -79% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $109.83 | ↓ -62% |
| BC MCAL | BC MCAL | $113.12 | ↓ -61% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $134.76 | ↓ -54% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $141.68 | ↓ -51% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $205.61 | ↓ -29% |
| UHC MCR ADV | UHC MCR ADV | $205.61 | ↓ -29% |
| HEALTHNET MCARE | HEALTHNET MCARE | $205.61 | ↓ -29% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $205.61 | ↓ -29% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $216.94 | ↓ -25% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $224.11 | ↓ -23% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $226.17 | ↓ -22% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $236.45 | ↓ -19% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $246.73 | ↓ -15% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $262.26 | ↓ -10% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $285.80 | ↓ -2% |
| UHC JLL CSP | UHC JLL CSP | $295.19 | ↑ +2% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $295.19 | ↑ +2% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $299.57 | ↑ +3% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +5% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $308.42 | ↑ +6% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $430.02 | ↑ +48% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $441.80 | ↑ +52% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $466.89 | ↑ +61% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +80% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $538.00 | ↑ +85% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $992.00 | ↑ +241% |
Visitor-reported prices
Comments
Biopsy of salivary glnd;incisional 42405 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $9,917.60 | not published |
| Antioch Medical Center | ANTIOCH | $9,917.60 | not published |
| Redwood City Medical Center | Redwood City | $9,917.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $9,917.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $4,560.40 | not published |
| Riverside Medical Center | RIVERSIDE | $4,560.40 | not published |
| Fremont Medical Center | FREMONT | $9,917.60 | not published |
| Panorama Medical Center | PANORAMA CITY | $4,560.40 | not published |