ER Visit (level 5, high severity) at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$1,280.60
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.
?
What you pay up front if you don't use insurance.
$6,740.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$108.08 with UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY vs $5,729.00 with MULTIPLAN - ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $108.08 | ↓ -92% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $108.08 | ↓ -92% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $108.08 | ↓ -92% |
| MEDI-CAL | MEDI-CAL | $108.08 | ↓ -92% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $108.08 | ↓ -92% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $162.21 | ↓ -87% |
| UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | $168.26 | ↓ -87% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $168.26 | ↓ -87% |
| UHC MCR ADV | UHC MCR ADV | $168.26 | ↓ -87% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $168.26 | ↓ -87% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $168.26 | ↓ -87% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $168.26 | ↓ -87% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $170.53 | ↓ -87% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $170.53 | ↓ -87% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $185.09 | ↓ -86% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $185.09 | ↓ -86% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $207.15 | ↓ -84% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $210.33 | ↓ -84% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $218.74 | ↓ -83% |
| UHC JLL | UHC JLL | $223.67 | ↓ -83% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $223.67 | ↓ -83% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $245.15 | ↓ -81% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $246.95 | ↓ -81% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $260.97 | ↓ -80% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $268.93 | ↓ -79% |
| DIGNITY MCR OP ONLY - ALL OTHER PLANS | DIGNITY MCR OP ONLY - ALL OTHER PLANS | $765.95 | ↓ -40% |
| PRIME HEALTH - ALL PLANS | PRIME HEALTH - ALL PLANS | $765.95 | ↓ -40% |
| PRISON HLTHCRE - ALL PLANS | PRISON HLTHCRE - ALL PLANS | $980.42 | ↓ -23% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $1,110.63 | ↓ -13% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $2,300.00 | ↑ +80% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $2,444.00 | ↑ +91% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $2,557.00 | ↑ +100% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $5,729.00 | ↑ +347% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $4,220.16 | not published |
| St. John's Camarillo Hospital | Camarillo | $2,060.79 | $226.60 – $3,279.18 |
| Antioch Medical Center | ANTIOCH | $4,220.16 | not published |
| Redwood City Medical Center | Redwood City | $4,220.16 | not published |
| Santa Clara Medical Center | SANTA CLARA | $4,220.16 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $3,284.32 | not published |
| Riverside Medical Center | RIVERSIDE | $3,284.32 | not published |
| Fremont Medical Center | FREMONT | $4,220.16 | not published |