Pr e&m preventive medicine initial comprehensive new patient 12-17 years at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$42.18
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.
$222.00
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.
$55.30 with BLUE SHIELD EPN vs $222.00 with UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY — 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 | $55.30 | ↑ +31% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $76.48 | ↑ +81% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $78.84 | ↑ +87% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $79.64 | ↑ +89% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $82.25 | ↑ +95% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $88.50 | ↑ +110% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $88.80 | ↑ +111% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $113.75 | ↑ +170% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $117.25 | ↑ +178% |
| UHC JLL | UHC JLL | $120.42 | ↑ +185% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $125.77 | ↑ +198% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $126.75 | ↑ +200% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $148.75 | ↑ +253% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $155.40 | ↑ +268% |
| MEDI-CAL | MEDI-CAL | $175.00 | ↑ +315% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $192.50 | ↑ +356% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $192.50 | ↑ +356% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $222.00 | ↑ +426% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $222.00 | ↑ +426% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $222.00 | ↑ +426% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $222.00 | ↑ +426% |
Visitor-reported prices
Comments
Pr e&m preventive medicine initial comprehensive new patient 12-17 years at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $151.85 | $58.99 – $223.44 |
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $134.93 | $94.35 – $259.38 |
| St. Mary Medical Center | Long Beach | $169.85 | $51.75 – $471.75 |
| Glendale Memorial Hospital Health Center | Glendale | $70.75 | $54.25 – $399.10 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $58.71 | $2.93 – $675.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $42.18 | $105.01 – $372.96 |