Determine refractive state 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

$12.54

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.

$66.00

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.

$20.12 with AETNA-ALL PLANS vs $82.66 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 →

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
AETNA-ALL PLANS AETNA-ALL PLANS $20.12 ↑ +60%
CIGNA-ALL PLANS CIGNA-ALL PLANS $24.05 ↑ +92%
UHC JLL UHC JLL $25.51 ↑ +103%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $25.51 ↑ +103%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $26.40 ↑ +111%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $46.20 ↑ +268%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $49.50 ↑ +295%
BLUE SHIELD EPN BLUE SHIELD EPN $52.68 ↑ +320%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $55.68 ↑ +344%
UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $66.00 ↑ +426%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $66.00 ↑ +426%
BLUE CROSS MCAL BLUE CROSS MCAL $66.00 ↑ +426%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $66.00 ↑ +426%
MEDI-CAL MEDI-CAL $66.00 ↑ +426%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $82.66 ↑ +559%

Visitor-reported prices

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Determine refractive state at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $12.54 $0.56 – $675.81
HANFORD COMMUNITY HOSPITAL Selma $12.54 $22.23 – $110.88
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $9.90 $19.75 – $101.02
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $43.56 $20.67 – $278.92
WILLITS HOSPITAL INC Willits $19.80 $22.23 – $407.41
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $4.62 $11.03 – $304.00
SONORA COMMUNITY HOSPITAL Sonora $11.22 $30.43 – $273.60
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $17.82 $19.75 – $684.56

All California hospitals for this procedure →