Amputate thigh through femur 27590 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

$387.75

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.

$2,585.00

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.

$90.00 with MEDI-CAL vs $4,208.34 with UNIVERSAL HEALTH PLAN MCARE-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
MEDI-CAL MEDI-CAL $90.00 ↓ -77%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $90.00 ↓ -77%
BC MEDI-CAL BC MEDI-CAL $90.00 ↓ -77%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $126.90 ↓ -67%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $703.39 ↑ +81%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $703.39 ↑ +81%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $703.39 ↑ +81%
HEALTHNET MCR ADV HEALTHNET MCR ADV $703.39 ↑ +81%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $703.39 ↑ +81%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $703.39 ↑ +81%
OSCAR - ALL PLANS OSCAR - ALL PLANS $703.39 ↑ +81%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $703.39 ↑ +81%
UHC MCR ADV UHC MCR ADV $703.39 ↑ +81%
AETNA- ALL PLANS AETNA- ALL PLANS $761.95 ↑ +97%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $773.73 ↑ +100%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $773.73 ↑ +100%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $773.73 ↑ +100%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $914.41 ↑ +136%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $977.71 ↑ +152%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $978.17 ↑ +152%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $978.17 ↑ +152%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $1,024.84 ↑ +164%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $1,055.09 ↑ +172%
UHC JLL CSP UHC JLL CSP $1,067.73 ↑ +175%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,067.73 ↑ +175%
UHC HMO UHC HMO $1,067.73 ↑ +175%
BLUE SHIELD EPN BLUE SHIELD EPN $1,166.89 ↑ +201%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $1,233.15 ↑ +218%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $1,233.15 ↑ +218%
BLUE CROSS MCS BLUE CROSS MCS $1,660.62 ↑ +328%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,660.62 ↑ +328%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $4,208.34 ↑ +985%

Visitor-reported prices

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Amputate thigh through femur 27590 at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $701.50 – $2,665.00
Bakersfield Memorial Hospital Bakersfield not published $701.50 – $2,665.00
REEDLEY COMMUNITY HOSPITAL Reedley $491.15 $23.02 – $6,943.76
HANFORD COMMUNITY HOSPITAL Selma $491.15 $122.11 – $4,208.34
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $1,706.10 $90.00 – $1,233.15
WILLITS HOSPITAL INC Willits $775.50 $125.00 – $1,691.94
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $180.95 $304.00 – $8,631.30
SONORA COMMUNITY HOSPITAL Sonora $439.45 $122.11 – $1,691.94

All California hospitals for this procedure →