Established Patient Office Visit (level 3) at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$49.68
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.
$184.00
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.
$24.00 with MEDI-CAL 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $24.00 | ↓ -52% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $24.00 | ↓ -52% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $34.43 | ↓ -31% |
| BC MCAL | BC MCAL | $35.46 | ↓ -29% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $42.24 | ↓ -15% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $44.41 | ↓ -11% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $45.42 | ↓ -9% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $57.94 | ↑ +17% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $58.16 | ↑ +17% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $63.39 | ↑ +28% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $63.98 | ↑ +29% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $64.50 | ↑ +30% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $66.05 | ↑ +33% |
| UHC JLL CSP | UHC JLL CSP | $66.05 | ↑ +33% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $66.88 | ↑ +35% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $69.79 | ↑ +40% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $77.28 | ↑ +56% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $77.83 | ↑ +57% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $84.74 | ↑ +71% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $87.24 | ↑ +76% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $92.00 | ↑ +85% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $92.00 | ↑ +85% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $106.15 | ↑ +114% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $111.50 | ↑ +124% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +512% |
| HEALTHNET MCARE | HEALTHNET MCARE | $304.25 | ↑ +512% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +953% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $642.42 | $59.21 – $226.00 |
| Banner Lassen Medical Center | Susanville | $1,479.42 | $39.60 – $354.05 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $34.43 – $351.00 |
| Mark Twain Medical Center | San Andreas | $138.53 | $36.22 – $137.20 |
| French Hospital | San Luis Obispo | $149.36 | $34.43 – $343.98 |
| Bakersfield Memorial Hospital | Bakersfield | $107.54 | $42.76 – $232.00 |
| Healdsburg Hospital | Healdsburg | $302.43 | not published |
| Redwood Memorial Hospital | Fortuna | $161.16 | not published |