Amitriptyline (elavil) -sendout 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

$5.22

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.

$34.77

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.

$0.05 with AETNA- ALL PLANS vs $196.30 with BLUE CROSS MCS — 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 $0.05 ↓ -99%
BLUE SHIELD EPN BLUE SHIELD EPN $3.25 ↓ -38%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $3.61 ↓ -31%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $3.61 ↓ -31%
UHC JLL CSP UHC JLL CSP $4.04 ↓ -23%
UHC HMO UHC HMO $4.25 ↓ -19%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $4.25 ↓ -19%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $4.82 ↓ -8%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $4.89 ↓ -6%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $4.89 ↓ -6%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $4.89 ↓ -6%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $4.89 ↓ -6%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $5.09 ↓ -2%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $5.09 ↓ -2%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $5.87 ↑ +12%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $6.36 ↑ +22%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $6.85 ↑ +31%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $7.28 ↑ +39%
HERITAGE/HPN COMM HERITAGE/HPN COMM $7.29 ↑ +40%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $7.82 ↑ +50%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $7.82 ↑ +50%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $7.82 ↑ +50%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $8.31 ↑ +59%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $8.80 ↑ +69%
MEDI-CAL MEDI-CAL $9.78 ↑ +87%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $9.78 ↑ +87%
HEALTHNET MCAL HEALTHNET MCAL $11.65 ↑ +123%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $13.11 ↑ +151%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $147.22 ↑ +2720%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $163.58 ↑ +3034%
BLUE CROSS MCS BLUE CROSS MCS $196.30 ↑ +3661%

Visitor-reported prices

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Amitriptyline (elavil) -sendout at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $84.56 $29.00 – $29.00
Antioch Medical Center ANTIOCH $84.56 $29.00 – $29.00
Redwood City Medical Center Redwood City $84.56 $29.00 – $29.00
Santa Clara Medical Center SANTA CLARA $84.56 $29.00 – $29.00
Baldwin Park Medical Center BALDWIN PARK $260.00 $18.00 – $18.00
Riverside Medical Center RIVERSIDE $260.00 $18.00 – $18.00
Fremont Medical Center FREMONT $84.56 $29.00 – $29.00
Banner Lassen Medical Center Susanville $12.52 $4.92 – $11.64

All California hospitals for this procedure →