Pq kyphplsty 1 bdy lumb w/img at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$432.81
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.
$1,603.00
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.
$87.12 with MEDI-CAL vs $19,081.38 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 | $87.12 | ↓ -80% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $87.12 | ↓ -80% |
| HEALTHNET MCARE | HEALTHNET MCARE | $421.46 | ↓ -3% |
| UHC MCR ADV | UHC MCR ADV | $421.46 | ↓ -3% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $421.46 | ↓ -3% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $421.46 | ↓ -3% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $459.39 | ↑ +6% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $463.61 | ↑ +7% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $484.68 | ↑ +12% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $489.29 | ↑ +13% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $505.75 | ↑ +17% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $553.78 | ↑ +28% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $585.83 | ↑ +35% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $614.07 | ↑ +42% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $630.01 | ↑ +46% |
| UHC JLL CSP | UHC JLL CSP | $630.01 | ↑ +46% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $632.19 | ↑ +46% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $11,381.09 | ↑ +2530% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $12,027.30 | ↑ +2679% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $19,081.38 | ↑ +4309% |
Visitor-reported prices
Comments
Pq kyphplsty 1 bdy lumb w/img at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $10,953.60 | not published |
| St. John's Camarillo Hospital | Camarillo | $6,916.46 | $659.01 – $16,602.72 |
| Antioch Medical Center | ANTIOCH | $10,953.60 | not published |
| Redwood City Medical Center | Redwood City | $10,953.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $10,953.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $5,896.80 | not published |
| Riverside Medical Center | RIVERSIDE | $5,896.80 | not published |
| Fremont Medical Center | FREMONT | $10,953.60 | not published |