Pr discharge day management hospital ip/obs > 30 min on encounter date at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$76.14
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.
$282.00
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.
$53.40 with MEDI-CAL vs $523.31 with KAISER IP/OP ONLY- 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 | $53.40 | ↓ -30% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $53.40 | ↓ -30% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $76.60 | ↑ +1% |
| BC MCAL | BC MCAL | $78.89 | ↑ +4% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $93.98 | ↑ +23% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $94.10 | ↑ +24% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $98.81 | ↑ +30% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $108.65 | ↑ +43% |
| UHC MCR ADV | UHC MCR ADV | $108.65 | ↑ +43% |
| HEALTHNET MCARE | HEALTHNET MCARE | $108.65 | ↑ +43% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $108.65 | ↑ +43% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $118.43 | ↑ +56% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $118.44 | ↑ +56% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $119.29 | ↑ +57% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $119.52 | ↑ +57% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $123.15 | ↑ +62% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $124.95 | ↑ +64% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $130.38 | ↑ +71% |
| UHC JLL CSP | UHC JLL CSP | $137.57 | ↑ +81% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $137.57 | ↑ +81% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $141.00 | ↑ +85% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $141.00 | ↑ +85% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $158.30 | ↑ +108% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $162.69 | ↑ +114% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $162.98 | ↑ +114% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $170.89 | ↑ +124% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +300% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +587% |
Visitor-reported prices
Comments
Pr discharge day management hospital ip/obs > 30 min on encounter date at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $194.48 | $75.55 – $286.16 |
| Mercy Medical Center Redding | Redding | $151.09 | $196.92 – $298.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $53.58 | $3.02 – $178.38 |
| ST HELENA HOSPITAL | Vallejo | $37.95 | $53.40 – $192.93 |
| HANFORD COMMUNITY HOSPITAL | Selma | $53.58 | $53.40 – $229.35 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $42.30 | $53.40 – $186.88 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $186.12 | $53.40 – $158.32 |
| WILLITS HOSPITAL INC | Willits | $84.60 | $53.40 – $176.62 |