Amputation of lower leg 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

$295.20

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.

$1,968.00

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.

$88.61 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 $88.61 ↓ -70%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $88.61 ↓ -70%
BC MEDI-CAL BC MEDI-CAL $88.61 ↓ -70%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $124.94 ↓ -58%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $542.21 ↑ +84%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $542.21 ↑ +84%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $542.21 ↑ +84%
HEALTHNET MCR ADV HEALTHNET MCR ADV $542.21 ↑ +84%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $542.21 ↑ +84%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $542.21 ↑ +84%
OSCAR - ALL PLANS OSCAR - ALL PLANS $542.21 ↑ +84%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $542.21 ↑ +84%
UHC MCR ADV UHC MCR ADV $542.21 ↑ +84%
AETNA- ALL PLANS AETNA- ALL PLANS $579.80 ↑ +96%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $596.43 ↑ +102%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $596.43 ↑ +102%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $596.43 ↑ +102%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $704.87 ↑ +139%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $737.30 ↑ +150%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $737.30 ↑ +150%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $753.67 ↑ +155%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $790.00 ↑ +168%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $802.88 ↑ +172%
UHC HMO UHC HMO $802.88 ↑ +172%
UHC JLL CSP UHC JLL CSP $802.88 ↑ +172%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $813.32 ↑ +176%
BLUE SHIELD EPN BLUE SHIELD EPN $958.80 ↑ +225%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $1,013.24 ↑ +243%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $1,013.24 ↑ +243%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,319.79 ↑ +347%
BLUE CROSS MCS BLUE CROSS MCS $1,319.79 ↑ +347%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $4,208.34 ↑ +1326%

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Amputation of lower leg at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $507.96 – $1,929.78
Bakersfield Memorial Hospital Bakersfield not published $507.96 – $1,929.78
REEDLEY COMMUNITY HOSPITAL Reedley $373.92 $17.31 – $6,943.76
HANFORD COMMUNITY HOSPITAL Selma $373.92 $88.61 – $4,208.34
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $1,298.88 $120.00 – $1,013.24
WILLITS HOSPITAL INC Willits $590.40 $120.00 – $1,344.69
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $137.76 $120.00 – $8,631.30
SONORA COMMUNITY HOSPITAL Sonora $334.56 $120.00 – $1,344.69

All California hospitals for this procedure →