Gen, neuro, clo loop, rechg at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$19,000.00
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.
$100,000.00
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.
$2,125.00 with BLUE SHIELD EPN vs $131,000.00 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 →
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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 SHIELD EPN | BLUE SHIELD EPN | $2,125.00 | ↓ -89% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $2,949.00 | ↓ -84% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5,000.00 | ↓ -74% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $7,500.00 | ↓ -61% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $12,630.00 | ↓ -34% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $14,033.00 | ↓ -26% |
| UHC JLL | UHC JLL | $23,340.00 | ↑ +23% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $24,570.00 | ↑ +29% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $25,000.00 | ↑ +32% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $45,000.00 | ↑ +137% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $48,000.00 | ↑ +153% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $58,500.00 | ↑ +208% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $85,000.00 | ↑ +347% |
| MEDI-CAL | MEDI-CAL | $100,000.00 | ↑ +426% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $110,000.00 | ↑ +479% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $110,000.00 | ↑ +479% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $130,000.00 | ↑ +584% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $131,000.00 | ↑ +589% |
Visitor-reported prices
Comments
Gen, neuro, clo loop, rechg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $16,800.00 | not published |
| Antioch Medical Center | ANTIOCH | $16,800.00 | not published |
| Redwood City Medical Center | Redwood City | $16,800.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $16,800.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $15,600.00 | not published |
| Riverside Medical Center | RIVERSIDE | $15,600.00 | not published |
| Fremont Medical Center | FREMONT | $16,800.00 | not published |
| Panorama Medical Center | PANORAMA CITY | $15,600.00 | not published |