Aco annual medicare visit (awv), initial g0438aco at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$62.25
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.
$415.00
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.
$8.77 with BLUE CROSS NON-MCS - ALL OTHER PLANS vs $585.15 with KERN HEALTH SYSTEMS MCAL — 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 CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $8.77 | ↓ -86% |
| BLUE CROSS MCS | BLUE CROSS MCS | $8.77 | ↓ -86% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $149.88 | ↑ +141% |
| PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | $181.64 | ↑ +192% |
| UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | $181.64 | ↑ +192% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $181.64 | ↑ +192% |
| UHC MCR ADV | UHC MCR ADV | $181.64 | ↑ +192% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $181.64 | ↑ +192% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $181.64 | ↑ +192% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $181.64 | ↑ +192% |
| HERITAGE/HPN MCR ADV | HERITAGE/HPN MCR ADV | $181.64 | ↑ +192% |
| KERN LEGACY SHARE SELECT | KERN LEGACY SHARE SELECT | $181.64 | ↑ +192% |
| OSCAR - ALL PLANS | OSCAR - ALL PLANS | $181.64 | ↑ +192% |
| KERN LEGACY HP EPO - ALL OTHER PLANS | KERN LEGACY HP EPO - ALL OTHER PLANS | $199.80 | ↑ +221% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $199.80 | ↑ +221% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $199.80 | ↑ +221% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $207.50 | ↑ +233% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $207.50 | ↑ +233% |
| UHC JLL CSP | UHC JLL CSP | $222.17 | ↑ +257% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $222.17 | ↑ +257% |
| UHC HMO | UHC HMO | $222.17 | ↑ +257% |
| NETWORK PROVDRS LLC MCARE-ALL PLANS | NETWORK PROVDRS LLC MCARE-ALL PLANS | $236.13 | ↑ +279% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $237.80 | ↑ +282% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $251.30 | ↑ +304% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $251.30 | ↑ +304% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $252.48 | ↑ +306% |
| HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | $264.65 | ↑ +325% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $272.46 | ↑ +338% |
| UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $415.00 | ↑ +567% |
| BC MEDI-CAL | BC MEDI-CAL | $415.00 | ↑ +567% |
| MEDI-CAL | MEDI-CAL | $415.00 | ↑ +567% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $585.15 | ↑ +840% |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), initial g0438aco at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $420.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $420.00 | not published |
| Sacramento Medical Center | SACRAMENTO | $420.00 | not published |
| Oakland Medical Center | Oakland | $420.00 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $420.00 | not published |
| Mark Twain Medical Center | San Andreas | $293.04 | $54.85 – $207.76 |
| Healdsburg Hospital | Healdsburg | $576.30 | not published |
| Redwood Memorial Hospital | Fortuna | $270.30 | not published |