Pr discharge day management hospital ip/obs > 30 min on encounter date at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$53.58
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.
$282.00
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.
$53.40 with UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY vs $239.70 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 |
|---|---|---|---|
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $53.40 | ↓ -0% |
| MEDI-CAL | MEDI-CAL | $53.40 | ↓ -0% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $53.40 | ↓ -0% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $53.40 | ↓ -0% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $53.40 | ↓ -0% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $84.26 | ↑ +57% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $84.26 | ↑ +57% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $89.11 | ↑ +66% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $99.03 | ↑ +85% |
| UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | $108.11 | ↑ +102% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $108.11 | ↑ +102% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $108.11 | ↑ +102% |
| UHC MCR ADV | UHC MCR ADV | $108.11 | ↑ +102% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $108.11 | ↑ +102% |
| DIGNITY MCR OP ONLY - ALL OTHER PLANS | DIGNITY MCR OP ONLY - ALL OTHER PLANS | $108.11 | ↑ +102% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $108.11 | ↑ +102% |
| PRIME HEALTH - ALL PLANS | PRIME HEALTH - ALL PLANS | $108.11 | ↑ +102% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $118.92 | ↑ +122% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $118.92 | ↑ +122% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $123.23 | ↑ +130% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $128.34 | ↑ +140% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $130.88 | ↑ +144% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $132.54 | ↑ +147% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $135.14 | ↑ +152% |
| UHC JLL | UHC JLL | $137.57 | ↑ +157% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $137.57 | ↑ +157% |
| PRISON HLTHCRE - ALL PLANS | PRISON HLTHCRE - ALL PLANS | $138.38 | ↑ +158% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $140.54 | ↑ +162% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $142.61 | ↑ +166% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $156.76 | ↑ +193% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $157.52 | ↑ +194% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $183.30 | ↑ +242% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $239.70 | ↑ +347% |
Visitor-reported prices
Comments
Pr discharge day management hospital ip/obs > 30 min on encounter date at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $194.48 | $75.55 – $286.16 |
| Mercy Medical Center Redding | Redding | $151.09 | $196.92 – $298.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $53.58 | $3.02 – $178.38 |
| ST HELENA HOSPITAL | Vallejo | $37.95 | $53.40 – $192.93 |
| HANFORD COMMUNITY HOSPITAL | Selma | $53.58 | $53.40 – $229.35 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $42.30 | $53.40 – $186.88 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $186.12 | $53.40 – $158.32 |
| WILLITS HOSPITAL INC | Willits | $84.60 | $53.40 – $176.62 |