Sbsq nursing facility care/day e/m stable 10 min at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$18.81
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.
$99.00
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.
$13.70 with CCIPA MEDI-CAL - ALL PLANS vs $84.15 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 | $13.70 | ↓ -27% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $13.70 | ↓ -27% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $13.70 | ↓ -27% |
| MEDI-CAL | MEDI-CAL | $13.70 | ↓ -27% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $13.70 | ↓ -27% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $21.62 | ↑ +15% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $21.62 | ↑ +15% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $31.28 | ↑ +66% |
| UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT | $37.85 | ↑ +101% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $37.85 | ↑ +101% |
| UHC MCR ADV | UHC MCR ADV | $37.85 | ↑ +101% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $37.85 | ↑ +101% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $37.85 | ↑ +101% |
| DIGNITY MCR OP ONLY - ALL OTHER PLANS | DIGNITY MCR OP ONLY - ALL OTHER PLANS | $37.85 | ↑ +101% |
| HEALTHNET MEDICARE | HEALTHNET MEDICARE | $37.85 | ↑ +101% |
| PRIME HEALTH - ALL PLANS | PRIME HEALTH - ALL PLANS | $37.85 | ↑ +101% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $41.37 | ↑ +120% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $41.64 | ↑ +121% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $41.64 | ↑ +121% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $43.26 | ↑ +130% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $45.05 | ↑ +140% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $46.53 | ↑ +147% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $47.31 | ↑ +152% |
| PRISON HLTHCRE - ALL PLANS | PRISON HLTHCRE - ALL PLANS | $48.45 | ↑ +158% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $49.21 | ↑ +162% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $50.06 | ↑ +166% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $53.76 | ↑ +186% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $54.88 | ↑ +192% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $55.15 | ↑ +193% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $56.49 | ↑ +200% |
| UHC JLL | UHC JLL | $56.49 | ↑ +200% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $64.35 | ↑ +242% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $84.15 | ↑ +347% |
Visitor-reported prices
Comments
Sbsq nursing facility care/day e/m stable 10 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $78.03 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $18.81 | $1.24 – $62.45 |
| ST HELENA HOSPITAL | Vallejo | $13.50 | $13.70 – $67.69 |
| HANFORD COMMUNITY HOSPITAL | Selma | $18.81 | $13.70 – $59.42 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $14.85 | $13.70 – $65.39 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $65.34 | $13.70 – $57.51 |
| WILLITS HOSPITAL INC | Willits | $29.70 | $13.70 – $59.17 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $7.14 | $13.70 – $75.70 |