Cath symplicity spyral 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

$12,000.00

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.

$80,000.00

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.

$11,701.00 with BLUE CROSS EXCHANGE vs $95,280.00 with HEALTHNET MCAL — 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 CROSS EXCHANGE BLUE CROSS EXCHANGE $11,701.00 ↓ -2%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $13,001.00 ↑ +8%
BLUE CROSS MCS BLUE CROSS MCS $15,602.00 ↑ +30%
BC MEDI-CAL BC MEDI-CAL $20,000.00 ↑ +67%
UHC HMO UHC HMO $21,688.00 ↑ +81%
UHC JLL CSP UHC JLL CSP $24,168.00 ↑ +101%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $25,440.00 ↑ +112%
BLUE SHIELD EPN BLUE SHIELD EPN $26,080.00 ↑ +117%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $28,960.00 ↑ +141%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $28,960.00 ↑ +141%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $32,800.00 ↑ +173%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $36,000.00 ↑ +200%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $36,576.00 ↑ +205%
HERITAGE/HPN COMM HERITAGE/HPN COMM $37,840.00 ↑ +215%
AETNA- ALL PLANS AETNA- ALL PLANS $38,800.00 ↑ +223%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $40,000.00 ↑ +233%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $40,000.00 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $40,000.00 ↑ +233%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $41,120.00 ↑ +243%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $46,960.00 ↑ +291%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $46,960.00 ↑ +291%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $48,000.00 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $52,000.00 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $56,000.00 ↑ +367%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $64,000.00 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $64,000.00 ↑ +433%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $64,000.00 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $68,000.00 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $72,000.00 ↑ +500%
MEDI-CAL MEDI-CAL $80,000.00 ↑ +567%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $80,000.00 ↑ +567%
HEALTHNET MCAL HEALTHNET MCAL $95,280.00 ↑ +694%

Visitor-reported prices

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Cath symplicity spyral at other California hospitals

Hospital City Cash price Negotiated range
Bakersfield Memorial Hospital Bakersfield $28,440.67 $19,373.75 – $75,170.15
St. Joseph's Medical Center Stockton Stockton $13,670.12 $12,089.22 – $46,497.00
Mercy Medical Center Merced Merced $23,945.96 $10,694.31 – $44,637.12

All California hospitals for this procedure →