Alteplase 100 mg infusion from pyxis vial at ADVENTIST HEALTH TULARE

869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711

Source: hospital's published price file ↗ · Published May 22, 2026 · Ingested Sep 16, 2026

$217.43

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,144.35

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$94.07 with BLUE CROSS EXCHANGE vs $972.70 with MULTIPLAN - ALL 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 →

Payer
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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
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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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $94.07 ↓ -57%
BLUE SHIELD MCARE BLUE SHIELD MCARE $95.09 ↓ -56%
HEALTHNET MEDICARE HEALTHNET MEDICARE $95.09 ↓ -56%
UHC MCR ADV UHC MCR ADV $95.09 ↓ -56%
DIGNITY MCR OP ONLY - ALL OTHER PLANS DIGNITY MCR OP ONLY - ALL OTHER PLANS $95.09 ↓ -56%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $95.09 ↓ -56%
PRIME HEALTH - ALL PLANS PRIME HEALTH - ALL PLANS $95.09 ↓ -56%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $95.09 ↓ -56%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $104.52 ↓ -52%
BLUE CROSS MCAL BLUE CROSS MCAL $107.32 ↓ -51%
PRISON HLTHCRE - ALL PLANS PRISON HLTHCRE - ALL PLANS $121.72 ↓ -44%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $123.62 ↓ -43%
MEDI-CAL MEDI-CAL $131.81 ↓ -39%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $137.88 ↓ -37%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $144.99 ↓ -33%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $144.99 ↓ -33%
INCENTIVE HLTH - ALL PLANS INCENTIVE HLTH - ALL PLANS $171.16 ↓ -21%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $171.16 ↓ -21%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $171.35 ↓ -21%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $172.67 ↓ -21%
AETNA-ALL PLANS AETNA-ALL PLANS $201.26 ↓ -7%
HEALTHNET HMO/PPO - ALL OTHER PLANS HEALTHNET HMO/PPO - ALL OTHER PLANS $253.41 ↑ +17%
BLUE SHIELD EPN BLUE SHIELD EPN $361.61 ↑ +66%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $500.08 ↑ +130%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $514.96 ↑ +137%
CIGNA-ALL PLANS CIGNA-ALL PLANS $529.83 ↑ +144%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $537.84 ↑ +147%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $766.71 ↑ +253%
UHC JLL UHC JLL $787.43 ↑ +262%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $828.85 ↑ +281%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $972.70 ↑ +347%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $14,196.02 $94.00 – $94.00
St. John's Camarillo Hospital Camarillo $8,148.12 $44.51 – $197.54
Antioch Medical Center ANTIOCH $14,196.02 $94.00 – $94.00
Redwood City Medical Center Redwood City $14,196.02 $94.00 – $94.00
Santa Clara Medical Center SANTA CLARA $14,196.02 $94.00 – $94.00
Baldwin Park Medical Center BALDWIN PARK $13,182.02 $94.00 – $94.00
Riverside Medical Center RIVERSIDE $13,182.02 $94.00 – $94.00
Fremont Medical Center FREMONT $14,196.02 $94.00 – $94.00

All California hospitals for this procedure →