Initial hosp neonate 28 d/less than not critically ill 99477 at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$155.61
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.
$819.00
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.
$258.80 with BLUE SHIELD EPN vs $696.15 with MULTIPLAN - ALL 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 SHIELD EPN | BLUE SHIELD EPN | $258.80 | ↑ +66% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $265.48 | ↑ +71% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $265.48 | ↑ +71% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $265.48 | ↑ +71% |
| MEDI-CAL | MEDI-CAL | $265.48 | ↑ +71% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $265.48 | ↑ +71% |
| UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | $297.10 | ↑ +91% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $297.10 | ↑ +91% |
| UHC MCR ADV | UHC MCR ADV | $297.10 | ↑ +91% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $297.10 | ↑ +91% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $297.10 | ↑ +91% |
| DIGNITY MCR OP ONLY - ALL OTHER PLANS | DIGNITY MCR OP ONLY - ALL OTHER PLANS | $297.10 | ↑ +91% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $297.10 | ↑ +91% |
| PRIME HEALTH - ALL PLANS | PRIME HEALTH - ALL PLANS | $297.10 | ↑ +91% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $326.81 | ↑ +110% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $326.81 | ↑ +110% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $336.84 | ↑ +116% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $355.13 | ↑ +128% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $371.38 | ↑ +139% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $372.73 | ↑ +140% |
| PRISON HLTHCRE - ALL PLANS | PRISON HLTHCRE - ALL PLANS | $380.29 | ↑ +144% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $384.93 | ↑ +147% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $386.23 | ↑ +148% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $414.17 | ↑ +166% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $418.89 | ↑ +169% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $418.89 | ↑ +169% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $424.81 | ↑ +173% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $430.80 | ↑ +177% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $432.87 | ↑ +178% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $449.61 | ↑ +189% |
| UHC JLL | UHC JLL | $449.61 | ↑ +189% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $532.35 | ↑ +242% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $696.15 | ↑ +347% |
Visitor-reported prices
Comments
Initial hosp neonate 28 d/less than not critically ill 99477 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $155.61 | $9.87 – $622.20 |
| HANFORD COMMUNITY HOSPITAL | Selma | $155.61 | $139.00 – $628.33 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $122.85 | $265.48 – $630.60 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $540.54 | $265.48 – $457.79 |
| WILLITS HOSPITAL INC | Willits | $245.70 | $265.48 – $631.59 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $59.15 | $152.00 – $622.20 |
| SONORA COMMUNITY HOSPITAL | Sonora | $139.23 | $152.00 – $631.59 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $221.13 | $265.48 – $630.60 |