Thorax spine fusion 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

$829.73

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.

$4,367.00

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.

$188.76 with BLUE CROSS MCAL vs $2,158.30 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
BLUE CROSS MCAL BLUE CROSS MCAL $188.76 ↓ -77%
HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $188.76 ↓ -77%
UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $188.76 ↓ -77%
MEDI-CAL MEDI-CAL $188.76 ↓ -77%
CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $188.76 ↓ -77%
AETNA-ALL PLANS AETNA-ALL PLANS $1,060.40 ↑ +28%
UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT UPN-UNITED PHYSCN NTWRK MCR ADV PROFEE ONLY-ALL OT $1,223.50 ↑ +47%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $1,223.50 ↑ +47%
UHC MCR ADV UHC MCR ADV $1,223.50 ↑ +47%
BLUE SHIELD MCARE BLUE SHIELD MCARE $1,223.50 ↑ +47%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $1,223.50 ↑ +47%
HEALTHNET MEDICARE HEALTHNET MEDICARE $1,223.50 ↑ +47%
INCENTIVE HLTH - ALL PLANS INCENTIVE HLTH - ALL PLANS $1,345.85 ↑ +62%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,345.85 ↑ +62%
CIGNA-ALL PLANS CIGNA-ALL PLANS $1,523.74 ↑ +84%
HS INTERPLAN-ALL PLANS HS INTERPLAN-ALL PLANS $1,529.38 ↑ +84%
CAL FORENSIC MED GRP - ALL PLANS CAL FORENSIC MED GRP - ALL PLANS $1,590.55 ↑ +92%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,669.99 ↑ +101%
UHC JLL UHC JLL $1,669.99 ↑ +101%
BLUE SHIELD EPN BLUE SHIELD EPN $1,753.73 ↑ +111%
HEALTHNET HMO/PPO - ALL OTHER PLANS HEALTHNET HMO/PPO - ALL OTHER PLANS $1,782.64 ↑ +115%
BLUE SHIELD-ALL OTHER PLANS BLUE SHIELD-ALL OTHER PLANS $1,853.31 ↑ +123%
BLUE CROSS NON MCS - ALL OTHER PLANS BLUE CROSS NON MCS - ALL OTHER PLANS $2,158.30 ↑ +160%

Visitor-reported prices

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Thorax spine fusion at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $829.73 $36.66 – $2,406.12
HANFORD COMMUNITY HOSPITAL Selma $829.73 $75.00 – $22,551.40
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $655.05 $594.00 – $22,551.40
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $2,882.22 $188.76 – $1,853.31
WILLITS HOSPITAL INC Willits $1,310.10 $594.00 – $2,497.28
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $305.69 $105.00 – $2,406.12
SONORA COMMUNITY HOSPITAL Sonora $742.39 $594.00 – $2,497.28
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $1,179.09 $594.00 – $2,451.04

All California hospitals for this procedure →