Ip/obs consltj new/est sf 35 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

$22.80

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.

$120.00

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.

$37.92 with BLUE SHIELD EPN vs $132.00 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 $37.92 ↑ +66%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $48.00 ↑ +111%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $52.44 ↑ +130%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $54.61 ↑ +140%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $56.40 ↑ +147%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $60.68 ↑ +166%
AETNA-ALL PLANS AETNA-ALL PLANS $68.67 ↑ +201%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $78.00 ↑ +242%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $80.40 ↑ +253%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $84.00 ↑ +268%
CIGNA-ALL PLANS CIGNA-ALL PLANS $91.47 ↑ +301%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $97.03 ↑ +326%
UHC JLL UHC JLL $97.03 ↑ +326%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $102.00 ↑ +347%
UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $120.00 ↑ +426%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $120.00 ↑ +426%
BLUE CROSS MCAL BLUE CROSS MCAL $120.00 ↑ +426%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $120.00 ↑ +426%
MEDI-CAL MEDI-CAL $120.00 ↑ +426%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $132.00 ↑ +479%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $132.00 ↑ +479%

Visitor-reported prices

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Ip/obs consltj new/est sf 35 at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $56.61 $21.99 – $83.30
Healdsburg Hospital Healdsburg $71.40 not published
REEDLEY COMMUNITY HOSPITAL Reedley $36.10 $2.13 – $675.81
ST HELENA HOSPITAL Vallejo $35.40 $91.47 – $236.00
HANFORD COMMUNITY HOSPITAL Selma $22.80 $84.95 – $250.20
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $22.39 $66.63 – $160.80
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $125.40 $20.67 – $278.92
WILLITS HOSPITAL INC Willits $57.00 $75.24 – $407.41

All California hospitals for this procedure →