Annual Physical, Established Patient (age 40-64) at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$49.40
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.
$260.00
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.
$60.36 with BLUE SHIELD EPN vs $260.00 with UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY — 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 |
|---|---|---|---|
| BLUE SHIELD EPN | BLUE SHIELD EPN | $60.36 | ↑ +22% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $78.84 | ↑ +60% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $83.47 | ↑ +69% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $86.92 | ↑ +76% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $89.77 | ↑ +82% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $96.59 | ↑ +96% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $104.00 | ↑ +111% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $119.37 | ↑ +142% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $124.15 | ↑ +151% |
| UHC JLL | UHC JLL | $126.64 | ↑ +156% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $126.64 | ↑ +156% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $127.97 | ↑ +159% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $129.13 | ↑ +161% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $162.35 | ↑ +229% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $182.00 | ↑ +268% |
| MEDI-CAL | MEDI-CAL | $191.00 | ↑ +287% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $210.10 | ↑ +325% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $210.10 | ↑ +325% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $248.30 | ↑ +403% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $250.21 | ↑ +406% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $260.00 | ↑ +426% |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 40-64) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $137.19 | not published |
| Mercy Medical Center Merced | Merced | $217.85 | $109.90 – $418.77 |
| St. Mary Medical Center | Long Beach | $144.91 | $84.25 – $549.50 |
| Glendale Memorial Hospital Health Center | Glendale | $78.24 | $60.00 – $464.88 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $49.40 | $2.78 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $44.85 | $119.37 – $209.45 |
| HANFORD COMMUNITY HOSPITAL | Selma | $49.40 | $105.01 – $436.80 |