Ped critical care initial 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

$354.92

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,868.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$299.00 with CCIPA MEDI-CAL - ALL PLANS vs $1,587.80 with MULTIPLAN - ALL PLANS — 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 →

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
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $299.00 ↓ -16%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $299.00 ↓ -16%
BLUE CROSS MCAL BLUE CROSS MCAL $299.00 ↓ -16%
MEDI-CAL MEDI-CAL $299.00 ↓ -16%
UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $299.00 ↓ -16%
INDEPENDENCE OP ONLY - ALL PLANS INDEPENDENCE OP ONLY - ALL PLANS $471.77 ↑ +33%
DIGNITY MCAL OP ONLY DIGNITY MCAL OP ONLY $471.77 ↑ +33%
BLUE SHIELD EPN BLUE SHIELD EPN $590.29 ↑ +66%
UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT $678.42 ↑ +91%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $678.42 ↑ +91%
UHC MCR ADV UHC MCR ADV $678.42 ↑ +91%
BLUE SHIELD MCARE BLUE SHIELD MCARE $678.42 ↑ +91%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $678.42 ↑ +91%
DIGNITY MCR OP ONLY - ALL OTHER PLANS DIGNITY MCR OP ONLY - ALL OTHER PLANS $678.42 ↑ +91%
HEALTHNET MEDICARE HEALTHNET MEDICARE $678.42 ↑ +91%
PRIME HEALTH - ALL PLANS PRIME HEALTH - ALL PLANS $678.42 ↑ +91%
INCENTIVE HLTH - ALL PLANS INCENTIVE HLTH - ALL PLANS $746.26 ↑ +110%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $746.26 ↑ +110%
AETNA-ALL PLANS AETNA-ALL PLANS $753.92 ↑ +112%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $816.32 ↑ +130%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $848.03 ↑ +139%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $850.13 ↑ +140%
PRISON HLTHCRE - ALL PLANS PRISON HLTHCRE - ALL PLANS $868.38 ↑ +145%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $877.96 ↑ +147%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $881.95 ↑ +148%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $944.65 ↑ +166%
CIGNA-ALL PLANS CIGNA-ALL PLANS $968.29 ↑ +173%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $983.71 ↑ +177%
HEALTHNET HMO/PPO - ALL OTHER PLANS HEALTHNET HMO/PPO - ALL OTHER PLANS $988.46 ↑ +179%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,024.51 ↑ +189%
UHC JLL UHC JLL $1,024.51 ↑ +189%
NETWORK BY DESIGN-ALL PLANS NETWORK BY DESIGN-ALL PLANS $1,214.20 ↑ +242%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $1,587.80 ↑ +347%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Ped critical care initial at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $354.92 $22.49 – $1,396.11
HANFORD COMMUNITY HOSPITAL Selma $354.92 $139.00 – $1,396.11
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $280.20 $299.00 – $1,414.96
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $1,232.88 $278.92 – $1,203.46
WILLITS HOSPITAL INC Willits $560.40 $299.00 – $1,417.17
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $135.24 $152.00 – $1,396.11
SONORA COMMUNITY HOSPITAL Sonora $317.56 $152.00 – $1,417.17
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $504.36 $299.00 – $1,414.96

All California hospitals for this procedure →