Rem interrog dev eval scrms at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$11.40
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.
?
What you pay up front if you don't use insurance.
$60.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$25.00 with BLUE SHIELD MCARE vs $65.87 with BLUE CROSS NON MCS - ALL OTHER 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 →
?
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 MCARE | BLUE SHIELD MCARE | $25.00 | ↑ +119% |
| UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | $25.00 | ↑ +119% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $25.00 | ↑ +119% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $25.00 | ↑ +119% |
| UHC MCR ADV | UHC MCR ADV | $25.00 | ↑ +119% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $25.00 | ↑ +119% |
| MEDI-CAL | MEDI-CAL | $25.27 | ↑ +122% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $25.27 | ↑ +122% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $25.27 | ↑ +122% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $25.27 | ↑ +122% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $25.27 | ↑ +122% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $27.50 | ↑ +141% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $27.50 | ↑ +141% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $29.25 | ↑ +157% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $31.25 | ↑ +174% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $32.50 | ↑ +185% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $33.35 | ↑ +193% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $35.53 | ↑ +212% |
| UHC JLL | UHC JLL | $35.53 | ↑ +212% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $36.42 | ↑ +219% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $36.43 | ↑ +220% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $38.49 | ↑ +238% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $65.87 | ↑ +478% |
Visitor-reported prices
Comments
Rem interrog dev eval scrms at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy San Juan Medical Center | Carmichael | $173.45 | $25.27 – $525.39 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $49.78 | $0.78 – $196.01 |
| Mercy General Hospital | Sacramento | $138.00 | $25.27 – $506.40 |
| Mercy Hospital of Folsom | Folsom | $246.24 | $25.27 – $519.06 |
| Woodland Memorial Hospital | Woodland | $173.45 | $25.27 – $633.00 |
| Methodist Hospital of Sacramento | Sacramento | $182.31 | $25.27 – $525.39 |
| ST HELENA HOSPITAL | Vallejo | $10.05 | $25.27 – $84.09 |
| HANFORD COMMUNITY HOSPITAL | Selma | $11.40 | $25.00 – $72.84 |