Aco ccm; ea addl 20 min 99439aco 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

$13.20

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.

$88.00

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.

$26.58 with AETNA- ALL PLANS vs $75.60 with BLUE CROSS NON-MCS - ALL OTHER 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 $26.58 ↑ +101%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $31.07 ↑ +135%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $31.07 ↑ +135%
UHC MCR ADV UHC MCR ADV $31.07 ↑ +135%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $31.07 ↑ +135%
OSCAR - ALL PLANS OSCAR - ALL PLANS $31.07 ↑ +135%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $31.07 ↑ +135%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $31.07 ↑ +135%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $31.07 ↑ +135%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $31.07 ↑ +135%
HEALTHNET MCR ADV HEALTHNET MCR ADV $31.07 ↑ +135%
MEDI-CAL MEDI-CAL $32.58 ↑ +147%
BC MEDI-CAL BC MEDI-CAL $32.58 ↑ +147%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $32.58 ↑ +147%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $34.18 ↑ +159%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $34.18 ↑ +159%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $34.18 ↑ +159%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $35.76 ↑ +171%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $35.76 ↑ +171%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $37.57 ↑ +185%
UHC HMO UHC HMO $37.57 ↑ +185%
UHC JLL CSP UHC JLL CSP $37.57 ↑ +185%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $40.39 ↑ +206%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $43.19 ↑ +227%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $45.27 ↑ +243%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $45.94 ↑ +248%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $46.61 ↑ +253%
BLUE SHIELD EPN BLUE SHIELD EPN $52.47 ↑ +298%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $55.45 ↑ +320%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $55.45 ↑ +320%
BLUE CROSS MCS BLUE CROSS MCS $75.60 ↑ +473%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $75.60 ↑ +473%

Visitor-reported prices

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Aco ccm; ea addl 20 min 99439aco at other California hospitals

Hospital City Cash price Negotiated range
RIDEOUT MEMORIAL HOSPITAL Marysville $23.32 $21.20 – $174.90
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $8.61 $30.90 – $66.78

All California hospitals for this procedure →