Annual Physical, Established Patient (age 40-64) 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

$39.00

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.

$260.00

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.

$75.38 with AETNA- ALL PLANS vs $366.60 with KERN HEALTH SYSTEMS MCAL — 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
AETNA- ALL PLANS AETNA- ALL PLANS $75.38 ↑ +93%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $122.36 ↑ +214%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $122.36 ↑ +214%
UHC HMO UHC HMO $128.95 ↑ +231%
UHC JLL CSP UHC JLL CSP $128.95 ↑ +231%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $128.95 ↑ +231%
BLUE SHIELD EPN BLUE SHIELD EPN $177.18 ↑ +354%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $182.00 ↑ +367%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $187.24 ↑ +380%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $187.24 ↑ +380%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $192.90 ↑ +395%
BLUE CROSS MCS BLUE CROSS MCS $192.90 ↑ +395%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $195.00 ↑ +400%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $195.00 ↑ +400%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $208.00 ↑ +433%
BC MEDI-CAL BC MEDI-CAL $260.00 ↑ +567%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $260.00 ↑ +567%
MEDI-CAL MEDI-CAL $260.00 ↑ +567%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $366.60 ↑ +840%

Visitor-reported prices

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Annual Physical, Established Patient (age 40-64) at other California hospitals

Hospital City Cash price Negotiated range
Healdsburg Hospital Healdsburg $160.14 not published
Redwood Memorial Hospital Fortuna $137.19 not published
Mercy Medical Center Merced Merced $217.85 $109.90 – $418.77
St. Mary Medical Center Long Beach $144.91 $84.25 – $549.50
Glendale Memorial Hospital Health Center Glendale $78.24 $60.00 – $464.88
REEDLEY COMMUNITY HOSPITAL Reedley $49.40 $2.78 – $675.81
ST HELENA HOSPITAL Vallejo $44.85 $119.37 – $209.45
HANFORD COMMUNITY HOSPITAL Selma $49.40 $105.01 – $436.80

All California hospitals for this procedure →