Aco cmplx chron care addl 20 min 99489aco 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

$18.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$120.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$32.33 with CIGNA HMO/OPEN ACCESS vs $169.20 with KERN HEALTH SYSTEMS MCAL — same scan, same building. Share

Negotiated rates by payer
?

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
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $32.33 ↑ +80%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $32.33 ↑ +80%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $33.87 ↑ +88%
UHC HMO UHC HMO $33.87 ↑ +88%
UHC JLL CSP UHC JLL CSP $33.87 ↑ +88%
AETNA- ALL PLANS AETNA- ALL PLANS $39.30 ↑ +118%
OSCAR - ALL PLANS OSCAR - ALL PLANS $44.25 ↑ +146%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $44.25 ↑ +146%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $44.25 ↑ +146%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $44.25 ↑ +146%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $44.25 ↑ +146%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $44.25 ↑ +146%
HEALTHNET MCR ADV HEALTHNET MCR ADV $44.25 ↑ +146%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $44.25 ↑ +146%
UHC MCR ADV UHC MCR ADV $44.25 ↑ +146%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $44.25 ↑ +146%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $48.68 ↑ +170%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $48.68 ↑ +170%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $48.68 ↑ +170%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $57.53 ↑ +220%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $61.51 ↑ +242%
BLUE SHIELD EPN BLUE SHIELD EPN $61.64 ↑ +242%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $64.47 ↑ +258%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $65.14 ↑ +262%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $65.14 ↑ +262%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $66.38 ↑ +269%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $96.85 ↑ +438%
BLUE CROSS MCS BLUE CROSS MCS $96.85 ↑ +438%
MEDI-CAL MEDI-CAL $120.00 ↑ +567%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $120.00 ↑ +567%
BC MEDI-CAL BC MEDI-CAL $120.00 ↑ +567%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $169.20 ↑ +840%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Aco cmplx chron care addl 20 min 99489aco at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $77.28 not published
Antioch Medical Center ANTIOCH $77.28 not published
Redwood City Medical Center Redwood City $77.28 not published
Santa Clara Medical Center SANTA CLARA $77.28 not published
Fremont Medical Center FREMONT $77.28 not published
Sacramento Medical Center SACRAMENTO $77.28 not published
Oakland Medical Center Oakland $77.28 not published
Walnut Creek Medical Center WALNUT CREEK $77.28 not published

All California hospitals for this procedure →