Biopsy hand joint lining at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$184.50
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.
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What you pay up front if you don't use insurance.
$1,230.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$210.72 with MEDI-CAL vs $4,208.34 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 →
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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 ?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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $210.72 | ↑ +14% |
| UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $210.72 | ↑ +14% |
| BC MEDI-CAL | BC MEDI-CAL | $210.72 | ↑ +14% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $297.12 | ↑ +61% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $303.54 | ↑ +65% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $348.83 | ↑ +89% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $348.83 | ↑ +89% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $348.83 | ↑ +89% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $348.83 | ↑ +89% |
| HERITAGE/HPN MCR ADV | HERITAGE/HPN MCR ADV | $348.83 | ↑ +89% |
| KERN LEGACY SHARE SELECT | KERN LEGACY SHARE SELECT | $348.83 | ↑ +89% |
| OSCAR - ALL PLANS | OSCAR - ALL PLANS | $348.83 | ↑ +89% |
| PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | $348.83 | ↑ +89% |
| UHC MCR ADV | UHC MCR ADV | $348.83 | ↑ +89% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $383.71 | ↑ +108% |
| KERN LEGACY HP EPO - ALL OTHER PLANS | KERN LEGACY HP EPO - ALL OTHER PLANS | $383.71 | ↑ +108% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $383.71 | ↑ +108% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $428.05 | ↑ +132% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $428.05 | ↑ +132% |
| UHC JLL CSP | UHC JLL CSP | $450.38 | ↑ +144% |
| UHC HMO | UHC HMO | $450.38 | ↑ +144% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $450.38 | ↑ +144% |
| NETWORK PROVDRS LLC MCARE-ALL PLANS | NETWORK PROVDRS LLC MCARE-ALL PLANS | $453.48 | ↑ +146% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $480.26 | ↑ +160% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $484.87 | ↑ +163% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $507.52 | ↑ +175% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $507.52 | ↑ +175% |
| HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | $508.25 | ↑ +175% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $523.25 | ↑ +184% |
| BLUE CROSS MCS | BLUE CROSS MCS | $633.31 | ↑ +243% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $633.31 | ↑ +243% |
| UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | $4,208.34 | ↑ +2181% |
Visitor-reported prices
Comments
Biopsy hand joint lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $241.81 – $4,122.60 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $241.81 – $4,122.60 |
| Fresno Medical Center | FRESNO | $2,273.60 | not published |
| Antioch Medical Center | ANTIOCH | $2,273.60 | not published |
| Redwood City Medical Center | Redwood City | $2,273.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $2,273.60 | not published |
| Fremont Medical Center | FREMONT | $2,273.60 | not published |
| Sacramento Medical Center | SACRAMENTO | $2,273.60 | not published |