Lap removal of rectum w/colostomy 45395 at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$283.50
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.
$1,050.00
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.
$289.65 with MEDI-CAL vs $3,635.88 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $289.65 | ↑ +2% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $289.65 | ↑ +2% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,791.68 | ↑ +532% |
| UHC MCR ADV | UHC MCR ADV | $1,791.68 | ↑ +532% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,791.68 | ↑ +532% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1,791.68 | ↑ +532% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,806.05 | ↑ +537% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1,952.93 | ↑ +589% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,970.85 | ↑ +595% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $2,060.43 | ↑ +627% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $2,150.02 | ↑ +658% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $2,258.38 | ↑ +697% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $2,490.44 | ↑ +778% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $2,583.39 | ↑ +811% |
| UHC JLL CSP | UHC JLL CSP | $2,591.10 | ↑ +814% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $2,591.10 | ↑ +814% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $2,610.48 | ↑ +821% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $2,687.52 | ↑ +848% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2,730.07 | ↑ +863% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $3,635.88 | ↑ +1182% |
Visitor-reported prices
Comments
Lap removal of rectum w/colostomy 45395 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $199.50 | $56.88 – $3,472.23 |
| HANFORD COMMUNITY HOSPITAL | Selma | $199.50 | $130.00 – $3,472.23 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $693.00 | $1,050.00 – $2,730.07 |
| WILLITS HOSPITAL INC | Willits | $315.00 | $155.00 – $3,580.39 |
| ADVENTIST HEALTH TULARE | Tulare | $199.50 | $160.00 – $3,094.17 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $210.00 | $66.41 – $2,730.07 |
| St. John's Camarillo Hospital | Camarillo | not published | $2,043.08 – $2,489.70 |
| Petaluma Valley Hospital | Petaluma | not published | $6,619.00 – $14,372.00 |