Insitu hybridization (fish) 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

$94.05

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.

$495.00

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.

$62.69 with BLUE CROSS MCAL vs $825.04 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 $62.69 ↓ -33%
BLUE SHIELD EPN BLUE SHIELD EPN $141.25 ↑ +50%
MEDI-CAL MEDI-CAL $191.32 ↑ +103%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $195.34 ↑ +108%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $205.62 ↑ +119%
CIGNA-ALL PLANS CIGNA-ALL PLANS $206.96 ↑ +120%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $210.45 ↑ +124%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $210.45 ↑ +124%
PRIME HEALTH - ALL PLANS PRIME HEALTH - ALL PLANS $219.12 ↑ +133%
BLUE SHIELD MCARE BLUE SHIELD MCARE $219.12 ↑ +133%
HEALTHNET MEDICARE HEALTHNET MEDICARE $219.12 ↑ +133%
DIGNITY MCR OP ONLY - ALL OTHER PLANS DIGNITY MCR OP ONLY - ALL OTHER PLANS $219.12 ↑ +133%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $219.12 ↑ +133%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $219.12 ↑ +133%
UHC MCR ADV UHC MCR ADV $219.12 ↑ +133%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $248.72 ↑ +164%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $250.63 ↑ +166%
PRISON HLTHCRE - ALL PLANS PRISON HLTHCRE - ALL PLANS $280.48 ↑ +198%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $284.86 ↑ +203%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $290.55 ↑ +209%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $299.49 ↑ +218%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $317.73 ↑ +238%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $379.95 ↑ +304%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $394.42 ↑ +319%
INCENTIVE HLTH - ALL PLANS INCENTIVE HLTH - ALL PLANS $394.42 ↑ +319%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $408.11 ↑ +334%
UHC JLL UHC JLL $408.11 ↑ +334%
AETNA-ALL PLANS AETNA-ALL PLANS $575.39 ↑ +512%
HEALTHNET HMO/PPO - ALL OTHER PLANS HEALTHNET HMO/PPO - ALL OTHER PLANS $583.97 ↑ +521%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $742.53 ↑ +690%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $825.04 ↑ +777%

Visitor-reported prices

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Insitu hybridization (fish) at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $828.80 $268.00 – $268.00
St. John's Camarillo Hospital Camarillo $224.70 $48.06 – $604.18
Antioch Medical Center ANTIOCH $828.80 $268.00 – $268.00
Redwood City Medical Center Redwood City $828.80 $268.00 – $268.00
Santa Clara Medical Center SANTA CLARA $828.80 $268.00 – $268.00
Baldwin Park Medical Center BALDWIN PARK $500.76 $193.00 – $193.00
Riverside Medical Center RIVERSIDE $500.76 $193.00 – $193.00
Fremont Medical Center FREMONT $828.80 $268.00 – $268.00

All California hospitals for this procedure →