Gadobutrol 1 mmol/ml intravenous solution (wrapper) 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

$0.36

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.

$1.88

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.

$0.39 with BLUE CROSS MCAL vs $2.78 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
BLUE CROSS MCAL BLUE CROSS MCAL $0.39 ↑ +8%
BLUE SHIELD EPN BLUE SHIELD EPN $0.59 ↑ +64%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $0.82 ↑ +128%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $0.85 ↑ +136%
CIGNA-ALL PLANS CIGNA-ALL PLANS $0.87 ↑ +142%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $0.88 ↑ +144%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $1.26 ↑ +250%
UHC JLL UHC JLL $1.29 ↑ +258%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1.36 ↑ +278%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $1.60 ↑ +344%
AETNA-ALL PLANS AETNA-ALL PLANS $1.68 ↑ +367%
MEDI-CAL MEDI-CAL $1.88 ↑ +422%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $2.07 ↑ +475%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $2.07 ↑ +475%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $2.44 ↑ +578%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $2.46 ↑ +583%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $2.50 ↑ +594%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $2.78 ↑ +672%

Visitor-reported prices

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Gadobutrol 1 mmol/ml intravenous solution (wrapper) at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $45.90 $0.56 – $1.11
Mark Twain Medical Center San Andreas $17.32 $0.33 – $25.48
Queen of The Valley Medical Center Napa $112.46 $0.56 – $1.20
Providence St Joseph Hospital Eureka Eureka $112.46 $0.53 – $1.43
Healdsburg Hospital Healdsburg $45.90 $2.83 – $2.83
Providence Mission Hospital - Mission Viejo Mission Viejo $43.20 $0.38 – $1.47
Mercy Medical Center Mt. Shasta Mt Shasta $813.79 $0.33 – $1,025.08
Providence Cedars-Sinai Tarzana Medical Center Tarzana $31.50 $0.52 – $3.09

All California hospitals for this procedure →