Bilateral n block inj occipital 64405 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

$33.25

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.

$175.00

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.

$44.16 with BLUE SHIELD MCARE vs $160.44 with BLUE SHIELD-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 →

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 SHIELD MCARE BLUE SHIELD MCARE $44.16 ↑ +33%
UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT $44.16 ↑ +33%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $44.16 ↑ +33%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $44.16 ↑ +33%
UHC MCR ADV UHC MCR ADV $44.16 ↑ +33%
HEALTHNET MEDICARE HEALTHNET MEDICARE $44.16 ↑ +33%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $48.58 ↑ +46%
INCENTIVE HLTH - ALL PLANS INCENTIVE HLTH - ALL PLANS $48.58 ↑ +46%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $55.20 ↑ +66%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $57.41 ↑ +73%
MEDI-CAL MEDI-CAL $62.92 ↑ +89%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $62.92 ↑ +89%
BLUE CROSS MCAL BLUE CROSS MCAL $62.92 ↑ +89%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $62.92 ↑ +89%
UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $62.92 ↑ +89%
CIGNA-ALL PLANS CIGNA-ALL PLANS $64.16 ↑ +93%
HEALTHNET HMO/PPO - ALL OTHER PLANS HEALTHNET HMO/PPO - ALL OTHER PLANS $64.34 ↑ +94%
AETNA-ALL PLANS AETNA-ALL PLANS $68.06 ↑ +105%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $70.61 ↑ +112%
UHC JLL UHC JLL $70.61 ↑ +112%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $90.31 ↑ +172%
BLUE SHIELD EPN BLUE SHIELD EPN $151.82 ↑ +357%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $160.44 ↑ +383%

Visitor-reported prices

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Bilateral n block inj occipital 64405 at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,080.80 not published
Antioch Medical Center ANTIOCH $1,080.80 not published
Redwood City Medical Center Redwood City $1,080.80 not published
Santa Clara Medical Center SANTA CLARA $1,080.80 not published
Baldwin Park Medical Center BALDWIN PARK $878.80 not published
Riverside Medical Center RIVERSIDE $878.80 not published
Fremont Medical Center FREMONT $1,080.80 not published
Panorama Medical Center PANORAMA CITY $878.80 not published

All California hospitals for this procedure →