Pr visit complexity e&m service serious/complex condition at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$10.53
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.
$39.00
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.
$0.05 with AETNA-ALL PLANS 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 |
|---|---|---|---|
| AETNA-ALL PLANS | AETNA-ALL PLANS | $0.05 | ↓ -100% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $14.57 | ↑ +38% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $14.57 | ↑ +38% |
| UHC MCR ADV | UHC MCR ADV | $14.57 | ↑ +38% |
| HEALTHNET MCARE | HEALTHNET MCARE | $14.57 | ↑ +38% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $15.88 | ↑ +51% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $16.03 | ↑ +52% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $16.38 | ↑ +56% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $16.50 | ↑ +57% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $16.76 | ↑ +59% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $17.48 | ↑ +66% |
| KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $19.50 | ↑ +85% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $19.50 | ↑ +85% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $19.50 | ↑ +85% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $20.25 | ↑ +92% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $21.23 | ↑ +102% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $21.86 | ↑ +108% |
| UHC JLL CSP | UHC JLL CSP | $22.32 | ↑ +112% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $22.32 | ↑ +112% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $22.50 | ↑ +114% |
| KAISER MEDI-CAL IP/OP ONLY | KAISER MEDI-CAL IP/OP ONLY | $39.00 | ↑ +270% |
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $39.00 | ↑ +270% |
| MEDI-CAL | MEDI-CAL | $39.00 | ↑ +270% |
| BC MCAL | BC MCAL | $40.17 | ↑ +281% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $47.85 | ↑ +354% |
| KHS-KERN HLTH SYSTM MCAL | KHS-KERN HLTH SYSTM MCAL | $50.31 | ↑ +378% |
| KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $304.25 | ↑ +2789% |
| KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $523.31 | ↑ +4870% |
Visitor-reported prices
Comments
Pr visit complexity e&m service serious/complex condition at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $27.98 | $10.87 – $41.16 |
| Healdsburg Hospital | Healdsburg | $57.63 | not published |
| Redwood Memorial Hospital | Fortuna | $26.52 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $7.41 | $0.01 – $78.00 |
| ST HELENA HOSPITAL | Vallejo | $6.45 | $0.01 – $82.75 |
| HANFORD COMMUNITY HOSPITAL | Selma | $7.41 | $0.01 – $74.00 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $7.08 | $0.05 – $75.60 |
| ADVENTIST HEALTH DELANO | Delano | $10.20 | $14.57 – $65.79 |