Aco cmplx chron care without pt visit, 60 min 99487aco 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

$33.15

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.

$221.00

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.

$65.59 with CIGNA- ALL OTHER PLANS vs $311.61 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- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $65.59 ↑ +98%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $65.59 ↑ +98%
UHC HMO UHC HMO $68.64 ↑ +107%
UHC JLL CSP UHC JLL CSP $68.64 ↑ +107%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $68.64 ↑ +107%
AETNA- ALL PLANS AETNA- ALL PLANS $78.26 ↑ +136%
HEALTHNET MCR ADV HEALTHNET MCR ADV $79.99 ↑ +141%
UHC MCR ADV UHC MCR ADV $79.99 ↑ +141%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $79.99 ↑ +141%
OSCAR - ALL PLANS OSCAR - ALL PLANS $79.99 ↑ +141%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $79.99 ↑ +141%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $79.99 ↑ +141%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $79.99 ↑ +141%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $79.99 ↑ +141%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $79.99 ↑ +141%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $87.99 ↑ +165%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $87.99 ↑ +165%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $87.99 ↑ +165%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $103.99 ↑ +214%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $111.19 ↑ +235%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $116.55 ↑ +252%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $119.99 ↑ +262%
BLUE SHIELD EPN BLUE SHIELD EPN $122.75 ↑ +270%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $129.71 ↑ +291%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $129.71 ↑ +291%
BLUE CROSS MCS BLUE CROSS MCS $192.93 ↑ +482%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $192.93 ↑ +482%
MEDI-CAL MEDI-CAL $221.00 ↑ +567%
BC MEDI-CAL BC MEDI-CAL $221.00 ↑ +567%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $221.00 ↑ +567%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $228.29 ↑ +589%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $311.61 ↑ +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 without pt visit, 60 min 99487aco at other California hospitals

Hospital City Cash price Negotiated range
Redwood City Medical Center Redwood City $208.88 not published
Santa Clara Medical Center SANTA CLARA $208.88 not published
Sacramento Medical Center SACRAMENTO $208.88 not published
Oakland Medical Center Oakland $208.88 not published
Walnut Creek Medical Center WALNUT CREEK $208.88 not published
REEDLEY COMMUNITY HOSPITAL Reedley $65.17 $1.48 – $442.00
San Leandro Medical Center SAN LEANDRO $208.88 not published
Santa Rosa Medical Center SANTA ROSA $208.88 not published

All California hospitals for this procedure →