Established Patient Office Visit (level 2) at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$34.56
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.
?
What you pay up front if you don't use insurance.
$128.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.10 with UNIVERSAL IPA MCAL OP/PROFEE ONLY vs $523.31 with KAISER IP/OP ONLY- ALL OTHER PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $18.10 | ↓ -48% |
| MEDI-CAL | MEDI-CAL | $18.10 | ↓ -48% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $23.14 | ↓ -33% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $25.96 | ↓ -25% |
| BC MCAL | BC MCAL | $26.74 | ↓ -23% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $28.89 | ↓ -16% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $31.27 | ↓ -10% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $31.86 | ↓ -8% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $33.26 | ↓ -4% |
| UHC JLL CSP | UHC JLL CSP | $33.26 | ↓ -4% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $33.49 | ↓ -3% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $34.08 | ↓ -1% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $34.40 | ↓ -0% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $34.50 | ↓ -0% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $35.96 | ↑ +4% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $37.52 | ↑ +9% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $43.47 | ↑ +26% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $45.56 | ↑ +32% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $46.91 | ↑ +36% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $54.14 | ↑ +57% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $64.00 | ↑ +85% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $64.00 | ↑ +85% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $73.84 | ↑ +114% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $77.57 | ↑ +124% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +780% |
| HEALTHNET MCARE | HEALTHNET MCARE | $304.25 | ↑ +780% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +1414% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $559.01 | $28.15 – $226.00 |
| Banner Lassen Medical Center | Susanville | $737.20 | $29.86 – $276.45 |
| Arroyo Grande Hospital | Santa Maria | $130.54 | $16.37 – $305.00 |
| Mark Twain Medical Center | San Andreas | $68.60 | $8.28 – $32.00 |
| French Hospital | San Luis Obispo | $119.56 | $16.37 – $298.90 |
| Bakersfield Memorial Hospital | Bakersfield | $86.25 | $32.25 – $232.00 |
| Healdsburg Hospital | Healdsburg | $205.02 | not published |
| Redwood Memorial Hospital | Fortuna | $55.08 | not published |