Removal of stomachpartial 43632 at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$1,818.99
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.
$6,737.00
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.
$934.10 with UNIVERSAL IPA MCAL OP/PROFEE ONLY vs $3,473.98 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 |
|---|---|---|---|
| UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $934.10 | ↓ -49% |
| MEDI-CAL | MEDI-CAL | $934.10 | ↓ -49% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,807.81 | ↓ -1% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,825.55 | ↑ +0% |
| UHC MCR ADV | UHC MCR ADV | $1,825.55 | ↑ +0% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,825.55 | ↑ +0% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1,825.55 | ↑ +0% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1,989.85 | ↑ +9% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $2,008.11 | ↑ +10% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $2,099.38 | ↑ +15% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $2,190.66 | ↑ +20% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $2,259.43 | ↑ +24% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $2,281.10 | ↑ +25% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2,387.72 | ↑ +31% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $2,537.51 | ↑ +40% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $2,659.83 | ↑ +46% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $2,703.62 | ↑ +49% |
| UHC JLL CSP | UHC JLL CSP | $2,703.62 | ↑ +49% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $2,738.33 | ↑ +51% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $3,473.98 | ↑ +91% |
Visitor-reported prices
Comments
Removal of stomachpartial 43632 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3,625.04 | $1,071.90 – $5,334.14 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,280.03 | $35.00 – $3,317.62 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,280.03 | $40.00 – $3,317.62 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $1,010.55 | $40.00 – $3,473.98 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $4,446.42 | $35.00 – $2,752.82 |
| WILLITS HOSPITAL INC | Willits | $2,021.10 | $70.00 – $3,420.96 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $471.59 | $186.89 – $3,317.62 |
| SONORA COMMUNITY HOSPITAL | Sonora | $1,145.29 | $186.89 – $3,420.96 |