Closure enterostomy lg/sm intestine 44620 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

$435.45

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.

$2,903.00

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.

$421.82 with MEDI-CAL vs $1,539.68 with BLUE CROSS NON-MCS - 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 →

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
MEDI-CAL MEDI-CAL $421.82 ↓ -3%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $421.82 ↓ -3%
BC MEDI-CAL BC MEDI-CAL $421.82 ↓ -3%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $465.00 ↑ +7%
AETNA- ALL PLANS AETNA- ALL PLANS $781.24 ↑ +79%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $795.50 ↑ +83%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $795.50 ↑ +83%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $795.50 ↑ +83%
HEALTHNET MCR ADV HEALTHNET MCR ADV $795.50 ↑ +83%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $795.50 ↑ +83%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $795.50 ↑ +83%
OSCAR - ALL PLANS OSCAR - ALL PLANS $795.50 ↑ +83%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $795.50 ↑ +83%
UHC MCR ADV UHC MCR ADV $795.50 ↑ +83%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $795.50 ↑ +83%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $875.05 ↑ +101%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $875.05 ↑ +101%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $875.05 ↑ +101%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $1,034.15 ↑ +137%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $1,077.74 ↑ +148%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $1,077.74 ↑ +148%
BLUE SHIELD EPN BLUE SHIELD EPN $1,086.99 ↑ +150%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $1,105.75 ↑ +154%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $1,148.71 ↑ +164%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $1,148.71 ↑ +164%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $1,159.04 ↑ +166%
UHC HMO UHC HMO $1,166.98 ↑ +168%
UHC JLL CSP UHC JLL CSP $1,166.98 ↑ +168%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,166.98 ↑ +168%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $1,193.25 ↑ +174%
BLUE CROSS MCS BLUE CROSS MCS $1,539.68 ↑ +254%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,539.68 ↑ +254%

Visitor-reported prices

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Closure enterostomy lg/sm intestine 44620 at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $484.05 – $1,838.85
Bakersfield Memorial Hospital Bakersfield not published $484.05 – $1,838.85
Mark Twain Medical Center San Andreas $1,527.14 $484.05 – $2,247.14
REEDLEY COMMUNITY HOSPITAL Reedley $551.57 $25.16 – $1,477.07
HANFORD COMMUNITY HOSPITAL Selma $551.57 $84.51 – $1,477.07
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $1,915.98 $84.51 – $1,166.98
WILLITS HOSPITAL INC Willits $870.90 $421.82 – $1,484.48
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $203.21 $25.00 – $1,477.07

All California hospitals for this procedure →