Mra, w/o&w/dye, spinal canal at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$209.19
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.
$1,101.00
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.
$347.92 with BLUE SHIELD EPN vs $1,442.31 with HEALTHNET MEDI-CAL — 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 | $347.92 | ↑ +66% |
| PRIME HEALTH - ALL PLANS | PRIME HEALTH - ALL PLANS | $448.71 | ↑ +114% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $448.71 | ↑ +114% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $448.71 | ↑ +114% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $448.71 | ↑ +114% |
| UHC MCR ADV | UHC MCR ADV | $448.71 | ↑ +114% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $448.71 | ↑ +114% |
| DIGNITY MCR OP ONLY - ALL OTHER PLANS | DIGNITY MCR OP ONLY - ALL OTHER PLANS | $448.71 | ↑ +114% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $481.14 | ↑ +130% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $501.07 | ↑ +140% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $509.76 | ↑ +144% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $517.47 | ↑ +147% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $556.78 | ↑ +166% |
| PRISON HLTHCRE - ALL PLANS | PRISON HLTHCRE - ALL PLANS | $574.35 | ↑ +175% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $583.32 | ↑ +179% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $644.09 | ↑ +208% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $650.63 | ↑ +211% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $715.65 | ↑ +242% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $737.67 | ↑ +253% |
| UHC JLL | UHC JLL | $757.60 | ↑ +262% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $797.45 | ↑ +281% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $807.68 | ↑ +286% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $807.68 | ↑ +286% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $935.85 | ↑ +347% |
| MEDI-CAL | MEDI-CAL | $1,101.00 | ↑ +426% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $1,195.81 | ↑ +472% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $1,211.10 | ↑ +479% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $1,211.10 | ↑ +479% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $1,431.30 | ↑ +584% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $1,442.31 | ↑ +589% |
Visitor-reported prices
Comments
Mra, w/o&w/dye, spinal canal at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| ADVENTIST HEALTH DELANO | Delano | $789.20 | $448.71 – $5,090.34 |
| Petaluma Valley Hospital | Petaluma | not published | $470.15 – $610.96 |
| Queen of The Valley Medical Center | Napa | not published | $495.35 – $610.96 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $448.71 – $610.96 |
| Healdsburg Hospital | Healdsburg | not published | $470.05 – $470.05 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $485.45 – $610.96 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $381.40 – $830.11 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $448.71 – $830.11 |