Aco ccm; at least 20 min 99490aco 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

$38.22

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.

$254.79

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.

$30.68 with AETNA- ALL PLANS vs $229.31 with GALAXY HEALTH NETWORK IP/OP ONLY- 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
AETNA- ALL PLANS AETNA- ALL PLANS $30.68 ↓ -20%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $40.06 ↑ +5%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $40.06 ↑ +5%
UHC JLL CSP UHC JLL CSP $42.21 ↑ +10%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $42.21 ↑ +10%
UHC HMO UHC HMO $42.21 ↑ +10%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $44.25 ↑ +16%
UHC MCR ADV UHC MCR ADV $44.25 ↑ +16%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $44.25 ↑ +16%
OSCAR - ALL PLANS OSCAR - ALL PLANS $44.25 ↑ +16%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $44.25 ↑ +16%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $44.25 ↑ +16%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $44.25 ↑ +16%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $44.25 ↑ +16%
HEALTHNET MCR ADV HEALTHNET MCR ADV $44.25 ↑ +16%
BC MEDI-CAL BC MEDI-CAL $45.11 ↑ +18%
MEDI-CAL MEDI-CAL $45.11 ↑ +18%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $45.11 ↑ +18%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $48.68 ↑ +27%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $48.68 ↑ +27%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $48.68 ↑ +27%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $57.53 ↑ +51%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $61.51 ↑ +61%
BLUE SHIELD EPN BLUE SHIELD EPN $63.40 ↑ +66%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $63.61 ↑ +66%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $64.47 ↑ +69%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $64.71 ↑ +69%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $66.38 ↑ +74%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $67.00 ↑ +75%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $67.00 ↑ +75%
HEALTHNET MCAL HEALTHNET MCAL $77.06 ↑ +102%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $106.58 ↑ +179%
BLUE CROSS MCS BLUE CROSS MCS $118.43 ↑ +210%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $118.43 ↑ +210%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $130.66 ↑ +242%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $130.66 ↑ +242%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $152.87 ↑ +300%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $156.79 ↑ +310%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $165.61 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $178.35 ↑ +367%
HERITAGE/HPN COMM HERITAGE/HPN COMM $189.82 ↑ +397%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $203.83 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $203.83 ↑ +433%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $203.83 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $216.57 ↑ +467%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $224.74 ↑ +488%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $229.31 ↑ +500%

Visitor-reported prices

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Aco ccm; at least 20 min 99490aco at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $29.64 $23.40 – $675.81
ST HELENA HOSPITAL Vallejo $9.15 $61.00 – $242.92
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $102.96 $64.71 – $278.92
WILLITS HOSPITAL INC Willits $46.80 $64.71 – $407.41
RIDEOUT MEMORIAL HOSPITAL Marysville $20.90 $19.00 – $235.99
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $10.92 $62.12 – $267.99
SONORA COMMUNITY HOSPITAL Sonora $26.52 $64.71 – $251.89
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $42.12 $64.71 – $684.56

All California hospitals for this procedure →