48/100
#1,306 nationally
Adventist Health Tulare
869 North Cherry Street, Tulare, CA 93274 · (559) 688-0821
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Adventist Health Tulare billed $4.47 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 19
- inpatient and outpatient combined
- Rank in CA
- #33
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 49% of U.S. hospitals.
Better than 65% of U.S. hospitals.
Better than 34% of U.S. hospitals.
Better than 45% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
98 | $71,440 | $18,960 | +9% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
84 | $19,891 | $3,956 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
50 | $32,534 | $3,365 | +67% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
48 | $13,750 | $2,335 | +21% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
47 | $31,347 | $7,094 | -11% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
36 | $36,658 | $8,792 | -8% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
32 | $129,914 | $29,114 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
29 | $67,724 | $14,858 | +56% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
28 | $15,406 | $1,976 | +37% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
24 | $49,353 | $12,703 | +6% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$32,534 | $3,365 | +67% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$89,798 | $16,692 | +63% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$67,724 | $14,858 | +56% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,180 | $1,993 | +51% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$68,325 | $13,345 | +41% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$15,406 | $1,976 | +37% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,750 | $2,335 | +21% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$49,433 | $9,027 | +20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$44,594 | $13,921 | -27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$31,347 | $7,094 | -11% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$36,658 | $8,792 | -8% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$19,891 | $3,956 | about average |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$129,914 | $29,114 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$38,854 | $10,961 | about average |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$57,696 | $14,834 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$49,353 | $12,703 | +6% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.