Amputation leg; tib/fib f/u 27886 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

$328.50

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.

$2,190.00

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.

$596.15 with BLUE SHIELD MCR ADV vs $4,208.34 with UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS — 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
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $596.15 ↑ +81%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $596.15 ↑ +81%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $596.15 ↑ +81%
UHC MCR ADV UHC MCR ADV $596.15 ↑ +81%
OSCAR - ALL PLANS OSCAR - ALL PLANS $596.15 ↑ +81%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $596.15 ↑ +81%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $596.15 ↑ +81%
HEALTHNET MCR ADV HEALTHNET MCR ADV $596.15 ↑ +81%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $596.15 ↑ +81%
MEDI-CAL MEDI-CAL $621.00 ↑ +89%
BC MEDI-CAL BC MEDI-CAL $621.00 ↑ +89%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $621.00 ↑ +89%
AETNA- ALL PLANS AETNA- ALL PLANS $622.29 ↑ +89%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $655.77 ↑ +100%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $655.77 ↑ +100%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $655.77 ↑ +100%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $775.00 ↑ +136%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $814.90 ↑ +148%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $814.90 ↑ +148%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $828.65 ↑ +152%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $868.59 ↑ +164%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $875.61 ↑ +167%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $879.42 ↑ +168%
UHC HMO UHC HMO $879.42 ↑ +168%
UHC JLL CSP UHC JLL CSP $879.42 ↑ +168%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $894.23 ↑ +172%
BLUE SHIELD EPN BLUE SHIELD EPN $986.78 ↑ +200%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $1,042.81 ↑ +217%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $1,042.81 ↑ +217%
BLUE CROSS MCS BLUE CROSS MCS $1,351.21 ↑ +311%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,351.21 ↑ +311%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $4,208.34 ↑ +1181%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Amputation leg; tib/fib f/u 27886 at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $712.61 – $2,707.20
Bakersfield Memorial Hospital Bakersfield not published $712.61 – $2,707.20
Mark Twain Medical Center San Andreas $1,144.19 $444.45 – $1,683.64
REEDLEY COMMUNITY HOSPITAL Reedley $416.10 $18.96 – $1,326.45
HANFORD COMMUNITY HOSPITAL Selma $416.10 $65.00 – $4,208.34
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $1,445.40 $589.74 – $1,042.81
WILLITS HOSPITAL INC Willits $657.00 $90.00 – $1,376.71
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $153.30 $124.35 – $1,326.45

All California hospitals for this procedure →