Thoracoscopy w/pleurectomy 32656 at ADVENTIST HEALTH TULARE

869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711

Source: hospital's published price file ↗ · Published May 22, 2026 · Ingested Sep 16, 2026

$80.75

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$425.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$20.00 with CCIPA MEDI-CAL - ALL PLANS vs $1,628.40 with BLUE CROSS NON MCS - ALL OTHER 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 →

Payer
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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
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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 $20.00 ↓ -75%
BLUE CROSS MCAL BLUE CROSS MCAL $20.00 ↓ -75%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $20.00 ↓ -75%
UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $20.00 ↓ -75%
MEDI-CAL MEDI-CAL $20.00 ↓ -75%
UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT $759.33 ↑ +840%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $759.33 ↑ +840%
UHC MCR ADV UHC MCR ADV $759.33 ↑ +840%
BLUE SHIELD MCARE BLUE SHIELD MCARE $759.33 ↑ +840%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $759.33 ↑ +840%
HEALTHNET MEDICARE HEALTHNET MEDICARE $759.33 ↑ +840%
AETNA-ALL PLANS AETNA-ALL PLANS $765.21 ↑ +848%
INCENTIVE HLTH - ALL PLANS INCENTIVE HLTH - ALL PLANS $835.26 ↑ +934%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $835.26 ↑ +934%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $949.16 ↑ +1075%
CIGNA-ALL PLANS CIGNA-ALL PLANS $962.40 ↑ +1092%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $987.13 ↑ +1122%
UHC JLL UHC JLL $1,054.56 ↑ +1206%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,054.56 ↑ +1206%
HEALTHNET HMO/PPO - ALL OTHER PLANS HEALTHNET HMO/PPO - ALL OTHER PLANS $1,106.34 ↑ +1270%
BLUE SHIELD EPN BLUE SHIELD EPN $1,185.71 ↑ +1368%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $1,253.03 ↑ +1452%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $1,628.40 ↑ +1917%

Visitor-reported prices

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Thoracoscopy w/pleurectomy 32656 at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $80.75 $23.15 – $1,835.10
HANFORD COMMUNITY HOSPITAL Selma $80.75 $20.00 – $1,835.10
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $280.50 $425.00 – $1,253.03
WILLITS HOSPITAL INC Willits $127.50 $20.00 – $1,884.24
SONORA COMMUNITY HOSPITAL Sonora $72.25 $20.00 – $1,884.24
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $114.75 $110.20 – $1,835.02
UKIAH ADVENTIST HOSPITAL Ukiah $85.00 $35.00 – $1,253.03
St. John's Camarillo Hospital Camarillo not published $776.66 – $1,357.58

All California hospitals for this procedure →