Repair of bowel lesion at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$1,156.41
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.
$4,283.00
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.
$45.00 with UNIVERSAL IPA MCAL OP/PROFEE ONLY vs $2,377.49 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 | $45.00 | ↓ -96% |
| MEDI-CAL | MEDI-CAL | $45.00 | ↓ -96% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,177.66 | ↑ +2% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,185.80 | ↑ +3% |
| UHC MCR ADV | UHC MCR ADV | $1,185.80 | ↑ +3% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,185.80 | ↑ +3% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1,185.80 | ↑ +3% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1,292.52 | ↑ +12% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,304.38 | ↑ +13% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $1,363.67 | ↑ +18% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $1,422.96 | ↑ +23% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,470.99 | ↑ +27% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $1,648.26 | ↑ +43% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,727.71 | ↑ +49% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $1,727.86 | ↑ +49% |
| UHC JLL CSP | UHC JLL CSP | $1,727.86 | ↑ +49% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $1,735.25 | ↑ +50% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $1,778.70 | ↑ +54% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,833.78 | ↑ +59% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $2,377.49 | ↑ +106% |
Visitor-reported prices
Comments
Repair of bowel lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $813.77 | $37.93 – $2,280.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $813.77 | $75.00 – $2,280.81 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $642.45 | $45.00 – $2,377.49 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,826.78 | $50.00 – $1,833.78 |
| WILLITS HOSPITAL INC | Willits | $1,284.90 | $75.00 – $2,292.25 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $299.81 | $80.00 – $2,280.81 |
| SONORA COMMUNITY HOSPITAL | Sonora | $728.11 | $80.00 – $2,292.25 |
| ADVENTIST HEALTH TULARE | Tulare | $813.77 | $75.00 – $1,981.05 |