Cocaine 4 % nasal solution 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

$450.19

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.

$2,369.40

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.

$1.30 with BLUE CROSS MCAL vs $3,103.91 with HEALTHNET MEDI-CAL — 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 MCAL BLUE CROSS MCAL $1.30 ↓ -100%
AETNA-ALL PLANS AETNA-ALL PLANS $4.05 ↓ -99%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $4.15 ↓ -99%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $4.61 ↓ -99%
BLUE SHIELD EPN BLUE SHIELD EPN $748.73 ↑ +66%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $1,035.43 ↑ +130%
CIGNA-ALL PLANS CIGNA-ALL PLANS $1,097.03 ↑ +144%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $1,113.62 ↑ +147%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $1,540.11 ↑ +242%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $1,587.50 ↑ +253%
UHC JLL UHC JLL $1,630.38 ↑ +262%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,716.16 ↑ +281%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $2,013.99 ↑ +347%
MEDI-CAL MEDI-CAL $2,369.40 ↑ +426%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $2,606.34 ↑ +479%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $2,606.34 ↑ +479%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $3,080.22 ↑ +584%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $3,103.91 ↑ +589%

Visitor-reported prices

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Cocaine 4 % nasal solution at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $630.04 not published
St. John's Camarillo Hospital Camarillo $386.32 $1.96 – $687.96
Antioch Medical Center ANTIOCH $630.04 not published
Redwood City Medical Center Redwood City $630.04 not published
Santa Clara Medical Center SANTA CLARA $630.04 not published
Baldwin Park Medical Center BALDWIN PARK $585.04 not published
Riverside Medical Center RIVERSIDE $585.04 not published
Fremont Medical Center FREMONT $630.04 not published

All California hospitals for this procedure →