Assay of silica 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

$15.60

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.

$104.00

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.

$7.43 with BC MEDI-CAL vs $269.20 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 $7.43 ↓ -52%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $25.21 ↑ +62%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $25.21 ↑ +62%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $25.21 ↑ +62%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $25.21 ↑ +62%
UHC MCR ADV UHC MCR ADV $25.21 ↑ +62%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $25.21 ↑ +62%
HEALTHNET MCR ADV HEALTHNET MCR ADV $25.21 ↑ +62%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $28.92 ↑ +85%
MEDI-CAL MEDI-CAL $28.92 ↑ +85%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $30.25 ↑ +94%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $32.77 ↑ +110%
HEALTHNET MCAL HEALTHNET MCAL $34.44 ↑ +121%
BLUE SHIELD EPN BLUE SHIELD EPN $34.53 ↑ +121%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $38.38 ↑ +146%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $38.38 ↑ +146%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $38.75 ↑ +148%
OSCAR - ALL PLANS OSCAR - ALL PLANS $40.34 ↑ +159%
UHC JLL CSP UHC JLL CSP $42.93 ↑ +175%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $43.36 ↑ +178%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $45.19 ↑ +190%
UHC HMO UHC HMO $45.19 ↑ +190%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $45.38 ↑ +191%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $51.27 ↑ +229%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $52.00 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $52.00 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $52.00 ↑ +233%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $52.00 ↑ +233%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $56.72 ↑ +264%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $62.40 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $67.60 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $72.80 ↑ +367%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $77.46 ↑ +397%
HERITAGE/HPN COMM HERITAGE/HPN COMM $77.48 ↑ +397%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $83.20 ↑ +433%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $83.20 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $83.20 ↑ +433%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $86.33 ↑ +453%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $86.33 ↑ +453%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $88.40 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $93.60 ↑ +500%
AETNA- ALL PLANS AETNA- ALL PLANS $142.82 ↑ +816%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $201.90 ↑ +1194%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $224.33 ↑ +1338%
BLUE CROSS MCS BLUE CROSS MCS $269.20 ↑ +1626%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Assay of silica at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $239.12 $24.00 – $24.00
Antioch Medical Center ANTIOCH $239.12 $24.00 – $24.00
Redwood City Medical Center Redwood City $239.12 $24.00 – $24.00
Santa Clara Medical Center SANTA CLARA $239.12 $24.00 – $24.00
Baldwin Park Medical Center BALDWIN PARK $190.84 $17.00 – $17.00
Riverside Medical Center RIVERSIDE $190.84 $17.00 – $17.00
Fremont Medical Center FREMONT $239.12 $24.00 – $24.00
Panorama Medical Center PANORAMA CITY $190.84 $17.00 – $17.00

All California hospitals for this procedure →