Cont gluc mntr analysis i&r 95251 at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$22.95
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.
$85.00
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.
$21.45 with BLUE SHIELD EPN- ALL OTHER PLANS 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 |
|---|---|---|---|
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $21.45 | ↓ -7% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $22.67 | ↓ -1% |
| MEDI-CAL | MEDI-CAL | $29.00 | ↑ +26% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $29.00 | ↑ +26% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $29.00 | ↑ +26% |
| BC MCAL | BC MCAL | $29.87 | ↑ +30% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $35.58 | ↑ +55% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $35.70 | ↑ +56% |
| UHC MCR ADV | UHC MCR ADV | $35.88 | ↑ +56% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $35.88 | ↑ +56% |
| HEALTHNET MCARE | HEALTHNET MCARE | $35.88 | ↑ +56% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $35.88 | ↑ +56% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $37.41 | ↑ +63% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $39.11 | ↑ +70% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $39.47 | ↑ +72% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $40.46 | ↑ +76% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $41.26 | ↑ +80% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $42.50 | ↑ +85% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $43.06 | ↑ +88% |
| UHC JLL CSP | UHC JLL CSP | $46.46 | ↑ +102% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $46.46 | ↑ +102% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $49.04 | ↑ +114% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $50.05 | ↑ +118% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $51.51 | ↑ +124% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $52.28 | ↑ +128% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $53.82 | ↑ +135% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +1226% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +2180% |
Visitor-reported prices
Comments
Cont gluc mntr analysis i&r 95251 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $16.15 | $1.02 – $76.34 |
| HANFORD COMMUNITY HOSPITAL | Selma | $16.15 | $21.45 – $63.61 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $12.75 | $21.45 – $67.43 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $56.10 | $14.14 – $52.03 |
| WILLITS HOSPITAL INC | Willits | $25.50 | $22.67 – $69.94 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $5.95 | $21.45 – $83.01 |
| SONORA COMMUNITY HOSPITAL | Sonora | $14.45 | $21.45 – $76.33 |
| ADVENTIST HEALTH TULARE | Tulare | $16.15 | $21.45 – $61.39 |