Biopsy of heart lining at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$615.30
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.
$4,102.00
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.
$222.12 with FHCN PACE MCR ADV - ALL PLANS vs $6,985.01 with KAISER COMM HMO IP/OP ONLY-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 |
|---|---|---|---|
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $222.12 | ↓ -64% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $222.12 | ↓ -64% |
| UHC MCR ADV | UHC MCR ADV | $222.12 | ↓ -64% |
| PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | $222.12 | ↓ -64% |
| OSCAR - ALL PLANS | OSCAR - ALL PLANS | $222.12 | ↓ -64% |
| KERN LEGACY SHARE SELECT | KERN LEGACY SHARE SELECT | $222.12 | ↓ -64% |
| HERITAGE/HPN MCR ADV | HERITAGE/HPN MCR ADV | $222.12 | ↓ -64% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $222.12 | ↓ -64% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $222.12 | ↓ -64% |
| HERITAGE/HPN COMM | HERITAGE/HPN COMM | $225.23 | ↓ -63% |
| MEDI-CAL | MEDI-CAL | $237.76 | ↓ -61% |
| UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $237.76 | ↓ -61% |
| BC MEDI-CAL | BC MEDI-CAL | $237.76 | ↓ -61% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $244.33 | ↓ -60% |
| KERN LEGACY HP EPO - ALL OTHER PLANS | KERN LEGACY HP EPO - ALL OTHER PLANS | $244.33 | ↓ -60% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $244.33 | ↓ -60% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $248.08 | ↓ -60% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $276.16 | ↓ -55% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $276.16 | ↓ -55% |
| NETWORK PROVDRS LLC MCARE-ALL PLANS | NETWORK PROVDRS LLC MCARE-ALL PLANS | $288.76 | ↓ -53% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $299.63 | ↓ -51% |
| UHC HMO | UHC HMO | $299.63 | ↓ -51% |
| UHC JLL CSP | UHC JLL CSP | $299.63 | ↓ -51% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $307.57 | ↓ -50% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $308.75 | ↓ -50% |
| HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | $323.63 | ↓ -47% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $325.04 | ↓ -47% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $325.04 | ↓ -47% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $333.18 | ↓ -46% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $335.24 | ↓ -46% |
| KAISER MCAL IP/OP ONLY | KAISER MCAL IP/OP ONLY | $341.04 | ↓ -45% |
| HEALTHNET MCAL | HEALTHNET MCAL | $406.18 | ↓ -34% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $521.03 | ↓ -15% |
| BLUE CROSS MCS | BLUE CROSS MCS | $521.03 | ↓ -15% |
| FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | $2,461.20 | ↑ +300% |
| PHCS IP/OP ONLY-ALL PLANS | PHCS IP/OP ONLY-ALL PLANS | $2,666.30 | ↑ +333% |
| INTERPLAN IP/OP ONLY-ALL PLANS | INTERPLAN IP/OP ONLY-ALL PLANS | $2,871.40 | ↑ +367% |
| INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | $3,281.60 | ↑ +433% |
| AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | $3,281.60 | ↑ +433% |
| THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | $3,281.60 | ↑ +433% |
| BEECH STREET IP/OP ONLY- ALL PLANS | BEECH STREET IP/OP ONLY- ALL PLANS | $3,486.70 | ↑ +467% |
| GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | $3,691.80 | ↑ +500% |
| KAISER MCR ADV IP/OP ONLY | KAISER MCR ADV IP/OP ONLY | $4,061.05 | ↑ +560% |
| UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | $4,061.05 | ↑ +560% |
| AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | $4,873.26 | ↑ +692% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $6,531.00 | ↑ +961% |
| KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | $6,985.01 | ↑ +1035% |
Visitor-reported prices
Comments
Biopsy of heart lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $2,251.55 | $272.83 – $4,846.65 |
| Fresno Medical Center | FRESNO | $3,640.00 | not published |
| Antioch Medical Center | ANTIOCH | $3,640.00 | not published |
| Redwood City Medical Center | Redwood City | $3,640.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $3,640.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $4,243.20 | not published |
| Riverside Medical Center | RIVERSIDE | $4,243.20 | not published |
| Fremont Medical Center | FREMONT | $3,640.00 | not published |