Prolng ip/obs e/m ea 15 min at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$26.60
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.
$140.00
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.
$50.24 with CIGNA-ALL PLANS vs $140.00 with MEDI-CAL — 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 |
|---|---|---|---|
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $50.24 | ↑ +89% |
| UHC JLL | UHC JLL | $52.84 | ↑ +99% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $52.84 | ↑ +99% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $56.00 | ↑ +111% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $57.40 | ↑ +116% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $60.66 | ↑ +128% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $98.00 | ↑ +268% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $105.00 | ↑ +295% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $140.00 | ↑ +426% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $140.00 | ↑ +426% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $140.00 | ↑ +426% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $140.00 | ↑ +426% |
| MEDI-CAL | MEDI-CAL | $140.00 | ↑ +426% |
Visitor-reported prices
Comments
Prolng ip/obs e/m ea 15 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $26.60 | $46.91 – $226.00 |
| ST HELENA HOSPITAL | Vallejo | $15.90 | $50.24 – $106.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $26.60 | $46.91 – $235.20 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $21.00 | $51.50 – $197.40 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $92.40 | $53.80 – $163.85 |
| WILLITS HOSPITAL INC | Willits | $42.00 | $41.35 – $113.00 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville | $64.46 | $40.27 – $542.05 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $9.80 | $46.91 – $135.60 |