Incision & drainage open of deep abscess (subfascial) pos at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$901.53
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.
$3,339.00
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.
$132.91 with UNIVERSAL IPA MCAL OP/PROFEE ONLY vs $1,762.14 with BLUE CROSS NON-MCS- 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 |
|---|---|---|---|
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $132.91 | ↓ -85% |
| MEDI-CAL | MEDI-CAL | $132.91 | ↓ -85% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $855.13 | ↓ -5% |
| HEALTHNET MCARE | HEALTHNET MCARE | $945.34 | ↑ +5% |
| UHC MCR ADV | UHC MCR ADV | $945.34 | ↑ +5% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $945.34 | ↑ +5% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $945.34 | ↑ +5% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1,030.42 | ↑ +14% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,039.87 | ↑ +15% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,079.62 | ↑ +20% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $1,087.14 | ↑ +21% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $1,134.41 | ↑ +26% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $1,175.46 | ↑ +30% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,242.20 | ↑ +38% |
| UHC JLL CSP | UHC JLL CSP | $1,262.74 | ↑ +40% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $1,262.74 | ↑ +40% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $1,314.02 | ↑ +46% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,377.36 | ↑ +53% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $1,418.01 | ↑ +57% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $1,762.14 | ↑ +95% |
Visitor-reported prices
Comments
Incision & drainage open of deep abscess (subfascial) pos at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $634.41 | $27.72 – $1,729.84 |
| HANFORD COMMUNITY HOSPITAL | Selma | $634.41 | $35.00 – $9,332.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $500.85 | $663.81 – $9,332.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,203.74 | $65.00 – $1,361.97 |
| WILLITS HOSPITAL INC | Willits | $1,001.70 | $60.00 – $1,795.38 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $233.73 | $30.00 – $1,729.84 |
| SONORA COMMUNITY HOSPITAL | Sonora | $567.63 | $60.00 – $1,795.38 |
| ADVENTIST HEALTH TULARE | Tulare | $634.41 | $132.91 – $1,551.68 |