Revise/replace knee joint at ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
$1,302.21
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.
$4,823.00
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.
$1,273.59 with TRICARE BLUE SHIELD vs $2,869.22 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 |
|---|---|---|---|
| TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1,273.59 | ↓ -2% |
| UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1,273.59 | ↓ -2% |
| UHC MCR ADV | UHC MCR ADV | $1,273.59 | ↓ -2% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,273.59 | ↓ -2% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,305.88 | ↑ +0% |
| NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1,388.21 | ↑ +7% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,400.95 | ↑ +8% |
| OSCAR HEALTH PLAN- ALL PLANS | OSCAR HEALTH PLAN- ALL PLANS | $1,464.63 | ↑ +12% |
| COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $1,528.31 | ↑ +17% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,605.75 | ↑ +23% |
| WESTERN GRWRS/PINNACLE - ALL PLANS | WESTERN GRWRS/PINNACLE - ALL PLANS | $1,770.29 | ↑ +36% |
| UHC JLL CSP | UHC JLL CSP | $1,853.12 | ↑ +42% |
| UHC ALL PAYER- ALL OTHER PLANS | UHC ALL PAYER- ALL OTHER PLANS | $1,853.12 | ↑ +42% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,855.62 | ↑ +42% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $1,910.39 | ↑ +47% |
| BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $2,061.17 | ↑ +58% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2,178.21 | ↑ +67% |
| BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $2,869.22 | ↑ +120% |
Visitor-reported prices
Comments
Revise/replace knee joint at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $2,442.89 | $948.92 – $3,594.64 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $916.37 | $40.68 – $2,816.63 |
| ST HELENA HOSPITAL | Vallejo | $799.65 | $1,387.28 – $3,216.18 |
| HANFORD COMMUNITY HOSPITAL | Selma | $916.37 | $1,261.61 – $16,512.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $723.45 | $85.00 – $16,512.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $3,183.18 | $1,261.61 – $2,178.21 |
| WILLITS HOSPITAL INC | Willits | $1,446.90 | $85.00 – $2,923.34 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $337.61 | $61.00 – $2,816.63 |