Ped critical care initial at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$504.36
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.
$1,868.00
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.
$299.00 with MEDI-CAL vs $1,102.00 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 | $299.00 | ↓ -41% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $299.00 | ↓ -41% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $304.25 | ↓ -40% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↓ -40% |
| HEALTHNET MCARE | HEALTHNET MCARE | $304.25 | ↓ -40% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $304.25 | ↓ -40% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $389.44 | ↓ -23% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $428.89 | ↓ -15% |
| BC MCAL | BC MCAL | $441.75 | ↓ -12% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +4% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $526.24 | ↑ +4% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $553.26 | ↑ +10% |
| UHC MCR ADV | UHC MCR ADV | $681.90 | ↑ +35% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $684.56 | ↑ +36% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $716.35 | ↑ +42% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $750.09 | ↑ +49% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $784.19 | ↑ +55% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $784.56 | ↑ +56% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $790.16 | ↑ +57% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $818.28 | ↑ +62% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $934.00 | ↑ +85% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $934.00 | ↑ +85% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $976.73 | ↑ +94% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $992.00 | ↑ +97% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $993.53 | ↑ +97% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $1,024.51 | ↑ +103% |
| UHC JLL CSP | UHC JLL CSP | $1,024.51 | ↑ +103% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $1,102.00 | ↑ +118% |
Visitor-reported prices
Comments
Ped critical care initial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $354.92 | $22.49 – $1,396.11 |
| HANFORD COMMUNITY HOSPITAL | Selma | $354.92 | $139.00 – $1,396.11 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $280.20 | $299.00 – $1,414.96 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $1,232.88 | $278.92 – $1,203.46 |
| WILLITS HOSPITAL INC | Willits | $560.40 | $299.00 – $1,417.17 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $135.24 | $152.00 – $1,396.11 |
| SONORA COMMUNITY HOSPITAL | Sonora | $317.56 | $152.00 – $1,417.17 |
| ADVENTIST HEALTH TULARE | Tulare | $354.92 | $299.00 – $1,224.23 |