Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$112.32
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.
$416.00
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.
$115.56 with AETNA-ALL PLANS vs $536.64 with KHS-KERN HLTH SYSTM MCAL — 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 |
|---|---|---|---|
| AETNA-ALL PLANS | AETNA-ALL PLANS | $115.56 | ↑ +3% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $115.75 | ↑ +3% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $115.75 | ↑ +3% |
| UHC MCR ADV | UHC MCR ADV | $115.75 | ↑ +3% |
| HEALTHNET MCARE | HEALTHNET MCARE | $115.75 | ↑ +3% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $126.17 | ↑ +12% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $127.33 | ↑ +13% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $133.11 | ↑ +19% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $134.10 | ↑ +19% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $138.90 | ↑ +24% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $141.71 | ↑ +26% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $160.00 | ↑ +42% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $160.89 | ↑ +43% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $163.08 | ↑ +45% |
| UHC JLL CSP | UHC JLL CSP | $163.08 | ↑ +45% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $168.65 | ↑ +50% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $173.63 | ↑ +55% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $187.89 | ↑ +67% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $208.00 | ↑ +85% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $215.99 | ↑ +92% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +171% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $320.00 | ↑ +185% |
| MEDI-CAL | MEDI-CAL | $320.00 | ↑ +185% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $416.00 | ↑ +270% |
| BC MCAL | BC MCAL | $428.48 | ↑ +281% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $510.43 | ↑ +354% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +366% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $536.64 | ↑ +378% |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $392.00 | not published |
| Antioch Medical Center | ANTIOCH | $392.00 | not published |
| Redwood City Medical Center | Redwood City | $392.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $392.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $292.24 | not published |
| Riverside Medical Center | RIVERSIDE | $292.24 | not published |
| Fremont Medical Center | FREMONT | $392.00 | not published |
| Panorama Medical Center | PANORAMA CITY | $292.24 | not published |