Amputation of upper arm 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

$402.45

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.

$2,683.00

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.

$84.51 with MEDI-CAL vs $16,512.70 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 $84.51 ↓ -79%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $84.51 ↓ -79%
BC MEDI-CAL BC MEDI-CAL $84.51 ↓ -79%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $119.16 ↓ -70%
AETNA- ALL PLANS AETNA- ALL PLANS $670.02 ↑ +66%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $729.39 ↑ +81%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $729.39 ↑ +81%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $729.39 ↑ +81%
HEALTHNET MCR ADV HEALTHNET MCR ADV $729.39 ↑ +81%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $729.39 ↑ +81%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $729.39 ↑ +81%
OSCAR - ALL PLANS OSCAR - ALL PLANS $729.39 ↑ +81%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $729.39 ↑ +81%
UHC MCR ADV UHC MCR ADV $729.39 ↑ +81%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $802.33 ↑ +99%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $802.33 ↑ +99%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $802.33 ↑ +99%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $928.58 ↑ +131%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $928.58 ↑ +131%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $948.21 ↑ +136%
UHC HMO UHC HMO $987.95 ↑ +145%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $987.95 ↑ +145%
UHC JLL CSP UHC JLL CSP $987.95 ↑ +145%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $1,013.85 ↑ +152%
BLUE SHIELD EPN BLUE SHIELD EPN $1,040.57 ↑ +159%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $1,062.72 ↑ +164%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $1,094.09 ↑ +172%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $1,099.65 ↑ +173%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $1,099.65 ↑ +173%
BLUE CROSS MCS BLUE CROSS MCS $1,418.90 ↑ +253%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,418.90 ↑ +253%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $16,512.70 ↑ +4003%

Visitor-reported prices

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Amputation of upper arm at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $484.05 – $1,838.85
Bakersfield Memorial Hospital Bakersfield not published $484.05 – $1,838.85
REEDLEY COMMUNITY HOSPITAL Reedley $509.77 $21.30 – $1,392.89
HANFORD COMMUNITY HOSPITAL Selma $509.77 $84.51 – $16,512.70
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $1,770.78 $120.00 – $1,099.65
WILLITS HOSPITAL INC Willits $804.90 $84.51 – $1,445.66
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $187.81 $120.00 – $1,392.89
SONORA COMMUNITY HOSPITAL Sonora $456.11 $90.00 – $1,445.66

All California hospitals for this procedure →