Unlisted procedure microbiology at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$84.17
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.
$443.00
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.
$139.99 with BLUE SHIELD EPN vs $580.33 with HEALTHNET 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 |
|---|---|---|---|
| BLUE SHIELD EPN | BLUE SHIELD EPN | $139.99 | ↑ +66% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $193.59 | ↑ +130% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $201.61 | ↑ +140% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $203.78 | ↑ +142% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $205.11 | ↑ +144% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $224.03 | ↑ +166% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $259.16 | ↑ +208% |
| NETWORK BY DESIGN-ALL PLANS | NETWORK BY DESIGN-ALL PLANS | $287.95 | ↑ +242% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $296.81 | ↑ +253% |
| UHC JLL | UHC JLL | $304.83 | ↑ +262% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $320.86 | ↑ +281% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $376.55 | ↑ +347% |
| MEDI-CAL | MEDI-CAL | $443.00 | ↑ +426% |
| DIGNITY MCAL OP ONLY | DIGNITY MCAL OP ONLY | $487.30 | ↑ +479% |
| INDEPENDENCE OP ONLY - ALL PLANS | INDEPENDENCE OP ONLY - ALL PLANS | $487.30 | ↑ +479% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $575.90 | ↑ +584% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $580.33 | ↑ +589% |
Visitor-reported prices
Comments
Unlisted procedure microbiology at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $571.71 | not published |
| Arroyo Grande Hospital | Santa Maria | $166.86 | $91.13 – $382.05 |
| French Hospital | San Luis Obispo | $152.82 | $105.26 – $382.05 |
| Queen of The Valley Medical Center | Napa | $544.68 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $653.82 | not published |
| Redwood Memorial Hospital | Fortuna | $544.68 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $544.68 | not published |
| Northridge Hospital Medical Center | Northridge | $97.65 | $49.00 – $350.00 |