Brief chkin by md/qhp, 11-20 at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$17.55
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.
$65.00
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.
$22.59 with TRICARE BLUE SHIELD vs $523.31 with KAISER IP/OP ONLY- 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 |
|---|---|---|---|
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $22.59 | ↑ +29% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $22.59 | ↑ +29% |
| UHC MCR ADV | UHC MCR ADV | $22.59 | ↑ +29% |
| HEALTHNET MCARE | HEALTHNET MCARE | $22.59 | ↑ +29% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $23.64 | ↑ +35% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $24.62 | ↑ +40% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $24.85 | ↑ +42% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $25.98 | ↑ +48% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $27.11 | ↑ +54% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $27.30 | ↑ +56% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $27.50 | ↑ +57% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $31.00 | ↑ +77% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $32.50 | ↑ +85% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $32.50 | ↑ +85% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $32.91 | ↑ +88% |
| UHC JLL CSP | UHC JLL CSP | $33.26 | ↑ +90% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $33.26 | ↑ +90% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $33.75 | ↑ +92% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $33.89 | ↑ +93% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $37.50 | ↑ +114% |
| MEDI-CAL | MEDI-CAL | $62.00 | ↑ +253% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $62.00 | ↑ +253% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $65.00 | ↑ +270% |
| BC MCAL | BC MCAL | $66.95 | ↑ +281% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $79.76 | ↑ +354% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $83.85 | ↑ +378% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +1634% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +2882% |
Visitor-reported prices
Comments
Brief chkin by md/qhp, 11-20 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $12.35 | $22.46 – $124.00 |
| ST HELENA HOSPITAL | Vallejo | $10.20 | $24.15 – $82.75 |
| HANFORD COMMUNITY HOSPITAL | Selma | $11.78 | $22.46 – $104.16 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $9.30 | $22.59 – $87.42 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $42.90 | $20.67 – $89.90 |
| WILLITS HOSPITAL INC | Willits | $27.60 | $22.46 – $76.84 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $4.55 | $22.46 – $74.40 |
| SONORA COMMUNITY HOSPITAL | Sonora | $28.90 | $22.46 – $93.00 |