Fusion of knee at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$965.01
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.
$5,079.00
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.
$75.00 with BLUE CROSS MCAL vs $2,601.03 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 →
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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 CROSS MCAL | BLUE CROSS MCAL | $75.00 | ↓ -92% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $75.00 | ↓ -92% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $75.00 | ↓ -92% |
| MEDI-CAL | MEDI-CAL | $75.00 | ↓ -92% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $75.00 | ↓ -92% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $1,243.64 | ↑ +29% |
| UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | $1,348.97 | ↑ +40% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $1,348.97 | ↑ +40% |
| UHC MCR ADV | UHC MCR ADV | $1,348.97 | ↑ +40% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $1,348.97 | ↑ +40% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $1,348.97 | ↑ +40% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $1,348.97 | ↑ +40% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $1,483.87 | ↑ +54% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,483.87 | ↑ +54% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $1,686.21 | ↑ +75% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $1,753.66 | ↑ +82% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1,787.65 | ↑ +85% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,921.46 | ↑ +99% |
| UHC JLL | UHC JLL | $1,921.46 | ↑ +99% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $1,965.45 | ↑ +104% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $2,143.35 | ↑ +122% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $2,265.05 | ↑ +135% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $2,601.03 | ↑ +170% |
Visitor-reported prices
Comments
Fusion of knee at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $965.01 | $42.18 – $2,899.68 |
| HANFORD COMMUNITY HOSPITAL | Selma | $965.01 | $80.00 – $16,512.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $761.85 | $45.00 – $16,512.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $3,352.14 | $75.00 – $2,265.05 |
| WILLITS HOSPITAL INC | Willits | $1,523.70 | $168.65 – $3,009.54 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $355.53 | $168.65 – $2,899.68 |
| SONORA COMMUNITY HOSPITAL | Sonora | $863.43 | $45.00 – $3,009.54 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,371.33 | $843.26 – $2,953.82 |