Ped critical care subsq at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$182.97
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.
$963.00
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.
$143.52 with CCIPA MEDI-CAL - ALL PLANS vs $818.55 with MULTIPLAN - 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 |
|---|---|---|---|
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $143.52 | ↓ -22% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $143.52 | ↓ -22% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $143.52 | ↓ -22% |
| MEDI-CAL | MEDI-CAL | $143.52 | ↓ -22% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $143.52 | ↓ -22% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $226.45 | ↑ +24% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $226.45 | ↑ +24% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $304.31 | ↑ +66% |
| UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | $353.54 | ↑ +93% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $353.54 | ↑ +93% |
| UHC MCR ADV | UHC MCR ADV | $353.54 | ↑ +93% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $353.54 | ↑ +93% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $353.54 | ↑ +93% |
| DIGNITY MCR OP ONLY - ALL OTHER PLANS | DIGNITY MCR OP ONLY - ALL OTHER PLANS | $353.54 | ↑ +93% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $353.54 | ↑ +93% |
| PRIME HEALTH - ALL PLANS | PRIME HEALTH - ALL PLANS | $353.54 | ↑ +93% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $378.82 | ↑ +107% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $388.89 | ↑ +113% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $388.89 | ↑ +113% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $420.83 | ↑ +130% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $438.26 | ↑ +140% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $441.93 | ↑ +142% |
| PRISON HLTHCRE - ALL PLANS | PRISON HLTHCRE - ALL PLANS | $452.53 | ↑ +147% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $452.61 | ↑ +147% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $459.60 | ↑ +151% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $486.99 | ↑ +166% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $489.30 | ↑ +167% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $512.63 | ↑ +180% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $515.11 | ↑ +182% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $517.95 | ↑ +183% |
| UHC JLL | UHC JLL | $517.95 | ↑ +183% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $625.95 | ↑ +242% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $818.55 | ↑ +347% |
Visitor-reported prices
Comments
Ped critical care subsq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $182.97 | $11.37 – $690.94 |
| HANFORD COMMUNITY HOSPITAL | Selma | $182.97 | $139.00 – $690.94 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $144.45 | $143.52 – $700.27 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $635.58 | $143.52 – $596.86 |
| WILLITS HOSPITAL INC | Willits | $414.90 | $143.52 – $701.37 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $69.16 | $143.52 – $690.94 |
| SONORA COMMUNITY HOSPITAL | Sonora | $163.71 | $143.52 – $701.37 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $260.01 | $143.52 – $700.27 |