Assay of leflunomide 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

$5.79

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.

$38.57

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.

$12.81 with BLUE SHIELD EPN vs $166.19 with AETNA- ALL 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
BLUE SHIELD EPN BLUE SHIELD EPN $12.81 ↑ +121%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $14.23 ↑ +146%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $14.23 ↑ +146%
UHC JLL CSP UHC JLL CSP $15.92 ↑ +175%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $16.76 ↑ +189%
UHC HMO UHC HMO $16.76 ↑ +189%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $19.02 ↑ +228%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $19.29 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $19.29 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $19.29 ↑ +233%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $19.29 ↑ +233%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $20.06 ↑ +246%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $20.06 ↑ +246%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $23.14 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $25.07 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $27.00 ↑ +366%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $28.73 ↑ +396%
HERITAGE/HPN COMM HERITAGE/HPN COMM $28.73 ↑ +396%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $30.86 ↑ +433%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $30.86 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $30.86 ↑ +433%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $30.86 ↑ +433%
MEDI-CAL MEDI-CAL $30.86 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $32.78 ↑ +466%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $34.71 ↑ +499%
BC MEDI-CAL BC MEDI-CAL $35.92 ↑ +520%
HEALTHNET MCAL HEALTHNET MCAL $36.75 ↑ +535%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $38.57 ↑ +566%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $38.57 ↑ +566%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $38.57 ↑ +566%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $38.57 ↑ +566%
UHC MCR ADV UHC MCR ADV $38.57 ↑ +566%
HEALTHNET MCR ADV HEALTHNET MCR ADV $38.57 ↑ +566%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $38.57 ↑ +566%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $38.57 ↑ +566%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $46.28 ↑ +699%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $50.14 ↑ +766%
OSCAR - ALL PLANS OSCAR - ALL PLANS $61.71 ↑ +966%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $66.34 ↑ +1046%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $69.43 ↑ +1099%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $86.78 ↑ +1399%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $117.20 ↑ +1924%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $130.22 ↑ +2149%
BLUE CROSS MCS BLUE CROSS MCS $156.27 ↑ +2599%
AETNA- ALL PLANS AETNA- ALL PLANS $166.19 ↑ +2770%

Visitor-reported prices

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Assay of leflunomide at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $89.04 $35.00 – $35.00
Antioch Medical Center ANTIOCH $89.04 $35.00 – $35.00
Redwood City Medical Center Redwood City $89.04 $35.00 – $35.00
Santa Clara Medical Center SANTA CLARA $89.04 $35.00 – $35.00
Fremont Medical Center FREMONT $89.04 $35.00 – $35.00
Sacramento Medical Center SACRAMENTO $89.04 $35.00 – $35.00
Oakland Medical Center Oakland $89.04 $35.00 – $35.00
Walnut Creek Medical Center WALNUT CREEK $89.04 $35.00 – $35.00

All California hospitals for this procedure →