Biospy of bladder at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$1,251.45
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.
$4,635.00
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.
$41.00 with AETNA-ALL PLANS vs $4,171.50 with COVENTRY- 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 | $41.00 | ↓ -97% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $75.60 | ↓ -94% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $113.00 | ↓ -91% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $180.80 | ↓ -86% |
| HEALTHNET MCARE | HEALTHNET MCARE | $304.25 | ↓ -76% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↓ -76% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $304.25 | ↓ -76% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $389.44 | ↓ -69% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $408.42 | ↓ -67% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↓ -58% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $684.56 | ↓ -45% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $992.00 | ↓ -21% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $1,960.61 | ↑ +57% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $2,317.50 | ↑ +85% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2,317.50 | ↑ +85% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $2,456.55 | ↑ +96% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $3,568.95 | ↑ +185% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $3,619.94 | ↑ +189% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $4,171.50 | ↑ +233% |
Visitor-reported prices
Comments
Biospy of bladder at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $141.92 | $87.48 – $539.32 |
| Baldwin Park Medical Center | BALDWIN PARK | $5,456.36 | not published |
| Riverside Medical Center | RIVERSIDE | $5,456.36 | not published |
| Panorama Medical Center | PANORAMA CITY | $5,456.36 | not published |
| Petaluma Valley Hospital | Petaluma | $3,798.99 | $336.70 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $159.65 | $205.15 – $365.54 |
| Mark Twain Medical Center | San Andreas | $408.26 | $158.59 – $600.74 |
| French Hospital | San Luis Obispo | $145.44 | $100.17 – $363.58 |