Ip/obs cnsltj new/est mod 60 at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$64.41
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.
$339.00
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.
$107.12 with BLUE SHIELD EPN vs $372.90 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 →
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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 | $107.12 | ↑ +66% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $135.60 | ↑ +111% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $148.14 | ↑ +130% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $152.24 | ↑ +136% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $154.28 | ↑ +140% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $159.33 | ↑ +147% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $171.43 | ↑ +166% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $205.40 | ↑ +219% |
| UHC JLL | UHC JLL | $218.20 | ↑ +239% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $218.20 | ↑ +239% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $220.35 | ↑ +242% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $227.13 | ↑ +253% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $237.30 | ↑ +268% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $288.15 | ↑ +347% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $339.00 | ↑ +426% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $339.00 | ↑ +426% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $339.00 | ↑ +426% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $339.00 | ↑ +426% |
| MEDI-CAL | MEDI-CAL | $339.00 | ↑ +426% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $372.90 | ↑ +479% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $372.90 | ↑ +479% |
Visitor-reported prices
Comments
Ip/obs cnsltj new/est mod 60 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $114.56 | $44.50 – $168.56 |
| St. Joseph's Behavioral Health Center | Stockton | $88.51 | $15.50 – $155.00 |
| Healdsburg Hospital | Healdsburg | $157.59 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $83.03 | $4.79 – $678.00 |
| ST HELENA HOSPITAL | Vallejo | $70.65 | $196.88 – $471.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $64.41 | $139.00 – $569.52 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $60.60 | $147.74 – $454.26 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $288.42 | $20.67 – $491.55 |