Ip/obs cnsltj new/est low 45 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

$39.52

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.

$208.00

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.

$65.73 with BLUE SHIELD EPN vs $228.80 with INDEPENDENCE OP ONLY - 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 →

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 SHIELD EPN BLUE SHIELD EPN $65.73 ↑ +66%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $83.20 ↑ +111%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $90.90 ↑ +130%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $94.66 ↑ +140%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $97.76 ↑ +147%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $105.19 ↑ +166%
AETNA-ALL PLANS AETNA-ALL PLANS $105.19 ↑ +166%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $135.20 ↑ +242%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $139.36 ↑ +253%
CIGNA-ALL PLANS CIGNA-ALL PLANS $141.17 ↑ +257%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $145.60 ↑ +268%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $149.87 ↑ +279%
UHC JLL UHC JLL $149.87 ↑ +279%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $176.80 ↑ +347%
UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $208.00 ↑ +426%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $208.00 ↑ +426%
BLUE CROSS MCAL BLUE CROSS MCAL $208.00 ↑ +426%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $208.00 ↑ +426%
MEDI-CAL MEDI-CAL $208.00 ↑ +426%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $228.80 ↑ +479%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $228.80 ↑ +479%

Visitor-reported prices

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Ip/obs cnsltj new/est low 45 at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $81.26 $31.57 – $119.56
Healdsburg Hospital Healdsburg $99.96 not published
REEDLEY COMMUNITY HOSPITAL Reedley $55.67 $3.29 – $675.81
ST HELENA HOSPITAL Vallejo $55.65 $141.17 – $371.00
HANFORD COMMUNITY HOSPITAL Selma $39.52 $130.68 – $349.44
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $37.20 $102.08 – $278.72
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $193.38 $20.67 – $301.60
WILLITS HOSPITAL INC Willits $87.90 $115.27 – $407.41

All California hospitals for this procedure →