Repair stomach-bowel fistula 43880 at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$1,439.64
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.
$5,332.00
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.
$1,029.41 with UNIVERSAL IPA MCAL OP/PROFEE ONLY vs $2,918.88 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 | $1,029.41 | ↓ -28% |
| MEDI-CAL | MEDI-CAL | $1,029.41 | ↓ -28% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,433.72 | ↓ -0% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,456.89 | ↑ +1% |
| UHC MCR ADV | UHC MCR ADV | $1,456.89 | ↑ +1% |
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,456.89 | ↑ +1% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1,456.89 | ↑ +1% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1,588.01 | ↑ +10% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,602.58 | ↑ +11% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $1,675.42 | ↑ +16% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $1,748.27 | ↑ +21% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,797.75 | ↑ +25% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $2,025.08 | ↑ +41% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $2,114.15 | ↑ +47% |
| UHC JLL CSP | UHC JLL CSP | $2,114.15 | ↑ +47% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $2,122.69 | ↑ +47% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $2,150.23 | ↑ +49% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $2,185.34 | ↑ +52% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2,272.32 | ↑ +58% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $2,918.88 | ↑ +103% |
Visitor-reported prices
Comments
Repair stomach-bowel fistula 43880 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $1,013.08 | $25.00 – $2,787.51 |
| HANFORD COMMUNITY HOSPITAL | Selma | $1,013.08 | $1,029.41 – $2,787.51 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $799.80 | $50.00 – $2,918.88 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $3,519.12 | $1,029.41 – $2,272.32 |
| WILLITS HOSPITAL INC | Willits | $1,599.60 | $1,029.41 – $2,874.33 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $373.24 | $1,029.41 – $2,787.51 |
| SONORA COMMUNITY HOSPITAL | Sonora | $906.44 | $20.00 – $2,874.33 |
| ADVENTIST HEALTH TULARE | Tulare | $1,013.08 | $20.00 – $2,483.99 |