Anca screen with reflex to titer -quest 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

$2.01

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.

$13.38

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.

$4.34 with BC MEDI-CAL vs $172.13 with BLUE CROSS MCS — 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
BC MEDI-CAL BC MEDI-CAL $4.34 ↑ +116%
BLUE SHIELD EPN BLUE SHIELD EPN $4.44 ↑ +121%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $4.94 ↑ +146%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $4.94 ↑ +146%
UHC JLL CSP UHC JLL CSP $5.52 ↑ +175%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $5.81 ↑ +189%
UHC HMO UHC HMO $5.81 ↑ +189%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $6.60 ↑ +228%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $6.69 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $6.69 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $6.69 ↑ +233%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $6.69 ↑ +233%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $8.03 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $8.70 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $9.37 ↑ +366%
HERITAGE/HPN COMM HERITAGE/HPN COMM $9.97 ↑ +396%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $9.97 ↑ +396%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $10.70 ↑ +432%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $10.70 ↑ +432%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $10.70 ↑ +432%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $11.37 ↑ +466%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $12.04 ↑ +499%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $13.38 ↑ +566%
HEALTHNET MCAL HEALTHNET MCAL $13.38 ↑ +566%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $13.38 ↑ +566%
MEDI-CAL MEDI-CAL $13.38 ↑ +566%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $15.05 ↑ +649%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $15.05 ↑ +649%
UHC MCR ADV UHC MCR ADV $15.05 ↑ +649%
HEALTHNET MCR ADV HEALTHNET MCR ADV $15.05 ↑ +649%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $15.05 ↑ +649%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $15.05 ↑ +649%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $15.05 ↑ +649%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $18.06 ↑ +799%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $19.57 ↑ +874%
OSCAR - ALL PLANS OSCAR - ALL PLANS $24.08 ↑ +1098%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $25.89 ↑ +1188%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $27.09 ↑ +1248%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $33.86 ↑ +1585%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $55.21 ↑ +2647%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $55.21 ↑ +2647%
AETNA- ALL PLANS AETNA- ALL PLANS $82.89 ↑ +4024%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $129.09 ↑ +6322%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $143.44 ↑ +7036%
BLUE CROSS MCS BLUE CROSS MCS $172.13 ↑ +8464%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Anca screen with reflex to titer -quest at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $140.24 $12.50 – $43.24
Bakersfield Memorial Hospital Bakersfield $138.73 $12.50 – $43.24
Fresno Medical Center FRESNO $28.00 $14.00 – $14.00
St. John's Camarillo Hospital Camarillo $27.54 $15.05 – $49.04
Antioch Medical Center ANTIOCH $28.00 $14.00 – $14.00
Redwood City Medical Center Redwood City $28.00 $14.00 – $14.00
Santa Clara Medical Center SANTA CLARA $28.00 $14.00 – $14.00
Baldwin Park Medical Center BALDWIN PARK $121.16 $10.00 – $10.00

All California hospitals for this procedure →