Breast reconstruction tram flap 19367 at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI

1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530

Source: hospital's published price file ↗ · Published May 21, 2026 · Ingested Sep 16, 2026

$1,642.14

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$6,082.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$210.72 with MEDI-CAL vs $4,214.90 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 →

Payer
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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
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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 $210.72 ↓ -87%
UNIVERSAL IPA MCAL OP/PROFEE ONLY UNIVERSAL IPA MCAL OP/PROFEE ONLY $210.72 ↓ -87%
HEALTHNET MCARE HEALTHNET MCARE $1,562.74 ↓ -5%
UHC MCR ADV UHC MCR ADV $1,562.74 ↓ -5%
TRICARE BLUE SHIELD TRICARE BLUE SHIELD $1,562.74 ↓ -5%
UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA $1,562.74 ↓ -5%
AETNA-ALL PLANS AETNA-ALL PLANS $1,648.03 ↑ +0%
NETWORK PROVIDERS- ALL PLANS NETWORK PROVIDERS- ALL PLANS $1,703.39 ↑ +4%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,719.01 ↑ +5%
OSCAR HEALTH PLAN- ALL PLANS OSCAR HEALTH PLAN- ALL PLANS $1,797.15 ↑ +9%
COVENTRY- ALL PLANS COVENTRY- ALL PLANS $1,875.29 ↑ +14%
CIGNA- ALL PLANS CIGNA- ALL PLANS $2,052.31 ↑ +25%
WESTERN GRWRS/PINNACLE - ALL PLANS WESTERN GRWRS/PINNACLE - ALL PLANS $2,172.21 ↑ +32%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $2,276.91 ↑ +39%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $2,344.11 ↑ +43%
UHC JLL CSP UHC JLL CSP $2,346.01 ↑ +43%
UHC ALL PAYER- ALL OTHER PLANS UHC ALL PAYER- ALL OTHER PLANS $2,346.01 ↑ +43%
BLUE SHIELD EPN- ALL OTHER PLANS BLUE SHIELD EPN- ALL OTHER PLANS $2,431.76 ↑ +48%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $2,569.83 ↑ +56%
BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $4,214.90 ↑ +157%

Visitor-reported prices

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Breast reconstruction tram flap 19367 at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $1,155.58 $51.50 – $3,738.10
HANFORD COMMUNITY HOSPITAL Selma $1,155.58 $1,054.35 – $3,738.10
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $912.30 $1,054.35 – $4,214.90
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $4,014.12 $210.72 – $2,569.83
WILLITS HOSPITAL INC Willits $1,824.60 $1,054.35 – $3,749.54
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $425.74 $95.00 – $3,738.10
SONORA COMMUNITY HOSPITAL Sonora $1,033.94 $1,054.35 – $3,749.54
ADVENTIST HEALTH TULARE Tulare $1,155.58 $95.00 – $3,240.39

All California hospitals for this procedure →