Ol dig e/m svc 5-10 min at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$5.89
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.
?
What you pay up front if you don't use insurance.
$31.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.05 with BLUE SHIELD MCARE vs $31.00 with MEDI-CAL — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 MCARE | BLUE SHIELD MCARE | $11.05 | ↑ +88% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $11.05 | ↑ +88% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $11.05 | ↑ +88% |
| UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | $11.05 | ↑ +88% |
| UHC MCR ADV | UHC MCR ADV | $11.05 | ↑ +88% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $11.05 | ↑ +88% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $12.16 | ↑ +106% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $12.16 | ↑ +106% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $13.05 | ↑ +122% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $13.81 | ↑ +134% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $14.37 | ↑ +144% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $15.89 | ↑ +170% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $16.10 | ↑ +173% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $16.85 | ↑ +186% |
| UHC JLL | UHC JLL | $16.85 | ↑ +186% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $22.80 | ↑ +287% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $24.04 | ↑ +308% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $24.09 | ↑ +309% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $31.00 | ↑ +426% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $31.00 | ↑ +426% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $31.00 | ↑ +426% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $31.00 | ↑ +426% |
| MEDI-CAL | MEDI-CAL | $31.00 | ↑ +426% |
Visitor-reported prices
Comments
Ol dig e/m svc 5-10 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $7.03 | $0.37 – $62.00 |
| ST HELENA HOSPITAL | Vallejo | $4.20 | $11.86 – $30.08 |
| HANFORD COMMUNITY HOSPITAL | Selma | $5.89 | $11.05 – $52.08 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $4.65 | $11.11 – $43.71 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $24.42 | $11.05 – $44.95 |
| WILLITS HOSPITAL INC | Willits | $15.30 | $11.05 – $31.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $2.59 | $11.05 – $37.20 |
| SONORA COMMUNITY HOSPITAL | Sonora | $6.29 | $11.05 – $46.50 |