Diagnostic Mammogram (one breast) at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$129.60
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.
$480.00
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.
$37.90 with AETNA-ALL PLANS vs $225.84 with KHS-KERN HLTH SYSTM MCAL — 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 | $37.90 | ↓ -71% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $38.52 | ↓ -70% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $38.52 | ↓ -70% |
| UHC MCR ADV | UHC MCR ADV | $38.52 | ↓ -70% |
| HEALTHNET MCARE | HEALTHNET MCARE | $38.52 | ↓ -70% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $41.99 | ↓ -68% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $42.37 | ↓ -67% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $44.30 | ↓ -66% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $44.60 | ↓ -66% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $46.22 | ↓ -64% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $50.33 | ↓ -61% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $53.18 | ↓ -59% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $56.12 | ↓ -57% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $57.39 | ↓ -56% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $57.78 | ↓ -55% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $78.75 | ↓ -39% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $80.94 | ↓ -38% |
| MEDI-CAL | MEDI-CAL | $117.08 | ↓ -10% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $117.08 | ↓ -10% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $139.22 | ↑ +7% |
| UHC JLL CSP | UHC JLL CSP | $172.20 | ↑ +33% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $172.20 | ↑ +33% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $175.07 | ↑ +35% |
| BC MCAL | BC MCAL | $180.32 | ↑ +39% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $213.00 | ↑ +64% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $214.81 | ↑ +66% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $221.18 | ↑ +71% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $225.84 | ↑ +74% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $375.20 | $125.00 – $125.00 |
| St. John's Camarillo Hospital | Camarillo | $192.72 | $118.80 – $393.50 |
| Antioch Medical Center | ANTIOCH | $375.20 | $125.00 – $125.00 |
| Redwood City Medical Center | Redwood City | $375.20 | $125.00 – $125.00 |
| Santa Clara Medical Center | SANTA CLARA | $375.20 | $125.00 – $125.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $353.08 | $79.00 – $79.00 |
| Riverside Medical Center | RIVERSIDE | $353.08 | $79.00 – $79.00 |
| Fremont Medical Center | FREMONT | $375.20 | $125.00 – $125.00 |