Incision of neck of femur at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$1,136.43
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.
$4,209.00
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.
$65.00 with MEDI-CAL vs $2,487.30 with BLUE CROSS NON-MCS- 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $65.00 | ↓ -94% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $65.00 | ↓ -94% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,117.49 | ↓ -2% |
| UHC MCR ADV | UHC MCR ADV | $1,117.49 | ↓ -2% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,117.49 | ↓ -2% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1,117.49 | ↓ -2% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,125.97 | ↓ -1% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1,218.06 | ↑ +7% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,229.24 | ↑ +8% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $1,285.11 | ↑ +13% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $1,340.99 | ↑ +18% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,386.69 | ↑ +22% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $1,553.31 | ↑ +37% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $1,606.23 | ↑ +41% |
| UHC JLL CSP | UHC JLL CSP | $1,606.23 | ↑ +41% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,628.18 | ↑ +43% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $1,676.24 | ↑ +48% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $1,810.84 | ↑ +59% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,913.65 | ↑ +68% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $2,487.30 | ↑ +119% |
Visitor-reported prices
Comments
Incision of neck of femur at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $799.71 | $35.26 – $2,441.71 |
| HANFORD COMMUNITY HOSPITAL | Selma | $799.71 | $65.00 – $9,332.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $631.35 | $65.00 – $9,332.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,777.94 | $572.00 – $1,913.65 |
| WILLITS HOSPITAL INC | Willits | $1,262.70 | $572.00 – $2,534.22 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $294.63 | $70.00 – $2,441.71 |
| SONORA COMMUNITY HOSPITAL | Sonora | $715.53 | $168.65 – $2,534.22 |
| ADVENTIST HEALTH TULARE | Tulare | $799.71 | $572.00 – $2,190.23 |