Bx of breast open 19101 at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$1,102.50
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.
?
What you pay up front if you don't use insurance.
$7,350.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.00 with MEDI-CAL vs $8,661.75 with KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS — 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 →
?
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 | $55.00 | ↓ -95% |
| UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $55.00 | ↓ -95% |
| BC MEDI-CAL | BC MEDI-CAL | $55.00 | ↓ -95% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $77.55 | ↓ -93% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $194.23 | ↓ -82% |
| KERN LEGACY SHARE SELECT | KERN LEGACY SHARE SELECT | $216.26 | ↓ -80% |
| HERITAGE/HPN MCR ADV | HERITAGE/HPN MCR ADV | $216.26 | ↓ -80% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $216.26 | ↓ -80% |
| UHC MCR ADV | UHC MCR ADV | $216.26 | ↓ -80% |
| PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | $216.26 | ↓ -80% |
| OSCAR - ALL PLANS | OSCAR - ALL PLANS | $216.26 | ↓ -80% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $216.26 | ↓ -80% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $216.26 | ↓ -80% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $216.26 | ↓ -80% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $237.89 | ↓ -78% |
| KERN LEGACY HP EPO - ALL OTHER PLANS | KERN LEGACY HP EPO - ALL OTHER PLANS | $237.89 | ↓ -78% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $237.89 | ↓ -78% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $277.90 | ↓ -75% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $277.90 | ↓ -75% |
| NETWORK PROVDRS LLC MCARE-ALL PLANS | NETWORK PROVDRS LLC MCARE-ALL PLANS | $281.14 | ↓ -74% |
| KAISER MCAL IP/OP ONLY | KAISER MCAL IP/OP ONLY | $295.31 | ↓ -73% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $299.17 | ↓ -73% |
| UHC HMO | UHC HMO | $299.17 | ↓ -73% |
| UHC JLL CSP | UHC JLL CSP | $299.17 | ↓ -73% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $300.60 | ↓ -73% |
| HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | $315.09 | ↓ -71% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $324.39 | ↓ -71% |
| HEALTHNET MCAL | HEALTHNET MCAL | $351.72 | ↓ -68% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $430.52 | ↓ -61% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $454.96 | ↓ -59% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $454.96 | ↓ -59% |
| BLUE CROSS MCS | BLUE CROSS MCS | $490.11 | ↓ -56% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $490.11 | ↓ -56% |
| FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | $2,940.00 | ↑ +167% |
| PHCS IP/OP ONLY-ALL PLANS | PHCS IP/OP ONLY-ALL PLANS | $3,185.00 | ↑ +189% |
| INTERPLAN IP/OP ONLY-ALL PLANS | INTERPLAN IP/OP ONLY-ALL PLANS | $3,430.00 | ↑ +211% |
| INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | $3,920.00 | ↑ +256% |
| THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | $3,920.00 | ↑ +256% |
| AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | $3,920.00 | ↑ +256% |
| BEECH STREET IP/OP ONLY- ALL PLANS | BEECH STREET IP/OP ONLY- ALL PLANS | $4,165.00 | ↑ +278% |
| GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | $4,410.00 | ↑ +300% |
| HERITAGE/HPN COMM | HERITAGE/HPN COMM | $4,699.10 | ↑ +326% |
| KAISER MCR ADV IP/OP ONLY | KAISER MCR ADV IP/OP ONLY | $5,035.90 | ↑ +357% |
| UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | $5,035.90 | ↑ +357% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $5,800.00 | ↑ +426% |
| AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | $6,043.08 | ↑ +448% |
| KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | $8,661.75 | ↑ +686% |
Visitor-reported prices
Comments
Bx of breast open 19101 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $236.25 – $4,865.48 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $236.25 – $4,865.48 |
| Fresno Medical Center | FRESNO | $11,121.60 | not published |
| Antioch Medical Center | ANTIOCH | $11,121.60 | not published |
| Redwood City Medical Center | Redwood City | $11,121.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $11,121.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $4,992.00 | not published |
| Riverside Medical Center | RIVERSIDE | $4,992.00 | not published |