5% dextrose and 0.45% saline at SAN JOAQUIN COMMUNITY HOSPITAL

3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508

Source: hospital's published price file ↗ · Published Jul 29, 2026 · Ingested Sep 16, 2026

$29.95

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.

$199.65

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.

$5.18 with BLUE CROSS EXCHANGE vs $543.06 with AETNA- 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 →

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 EXCHANGE BLUE CROSS EXCHANGE $5.18 ↓ -83%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $5.75 ↓ -81%
BLUE CROSS MCS BLUE CROSS MCS $6.90 ↓ -77%
BLUE SHIELD EPN BLUE SHIELD EPN $66.28 ↑ +121%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $73.67 ↑ +146%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $73.67 ↑ +146%
UHC JLL CSP UHC JLL CSP $82.42 ↑ +175%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $86.75 ↑ +190%
UHC HMO UHC HMO $86.75 ↑ +190%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $96.43 ↑ +222%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $99.83 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $99.83 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $99.83 ↑ +233%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $99.83 ↑ +233%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $103.82 ↑ +247%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $103.82 ↑ +247%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $119.79 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $129.77 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $139.76 ↑ +367%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $148.70 ↑ +396%
HERITAGE/HPN COMM HERITAGE/HPN COMM $148.74 ↑ +397%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $159.72 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $159.72 ↑ +433%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $159.72 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $169.71 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $179.69 ↑ +500%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $199.65 ↑ +567%
MEDI-CAL MEDI-CAL $199.65 ↑ +567%
HEALTHNET MCAL HEALTHNET MCAL $237.79 ↑ +694%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $267.54 ↑ +793%
AETNA- ALL PLANS AETNA- ALL PLANS $543.06 ↑ +1713%

Visitor-reported prices

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5% dextrose and 0.45% saline at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $20.49 $5.06 – $140.16
ST HELENA HOSPITAL Vallejo $14.43 $3.47 – $96.19
HANFORD COMMUNITY HOSPITAL Selma $20.28 $5.22 – $179.32
SIERRA VISTA HOSPITAL, INC. San Luis Obispo $82.44 $916.00 – $1,190.80
ADVENTIST HEALTH DELANO Delano $13.93 $59.20 – $89.84
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $51.70 $1.71 – $234.99
ADVENTIST HEALTH CLEARLAKE HOSPITAL Clearlake $47.94 $3.34 – $219.71
WILLITS HOSPITAL INC Willits $13.20 $8.96 – $44.01

All California hospitals for this procedure →