Clsd tx of ankle fracture w/manip 28435 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

$180.30

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.

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What you pay up front if you don't use insurance.

$1,202.00

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.

$15.00 with MEDI-CAL vs $2,068.15 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 →

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 $15.00 ↓ -92%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $15.00 ↓ -92%
BC MEDI-CAL BC MEDI-CAL $15.00 ↓ -92%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $21.15 ↓ -88%
AETNA- ALL PLANS AETNA- ALL PLANS $285.55 ↑ +58%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $339.84 ↑ +88%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $339.84 ↑ +88%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $339.84 ↑ +88%
HEALTHNET MCR ADV HEALTHNET MCR ADV $339.84 ↑ +88%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $339.84 ↑ +88%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $339.84 ↑ +88%
OSCAR - ALL PLANS OSCAR - ALL PLANS $339.84 ↑ +88%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $339.84 ↑ +88%
UHC MCR ADV UHC MCR ADV $339.84 ↑ +88%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $373.82 ↑ +107%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $373.82 ↑ +107%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $373.82 ↑ +107%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $411.64 ↑ +128%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $411.64 ↑ +128%
UHC JLL CSP UHC JLL CSP $431.82 ↑ +140%
UHC HMO UHC HMO $431.82 ↑ +140%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $431.82 ↑ +140%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $441.79 ↑ +145%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $472.38 ↑ +162%
BLUE SHIELD EPN BLUE SHIELD EPN $483.25 ↑ +168%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $495.15 ↑ +175%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $509.76 ↑ +183%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $510.68 ↑ +183%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $510.68 ↑ +183%
BLUE CROSS MCS BLUE CROSS MCS $583.86 ↑ +224%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $583.86 ↑ +224%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $2,068.15 ↑ +1047%

Visitor-reported prices

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Clsd tx of ankle fracture w/manip 28435 at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $207.63 – $2,033.48
Bakersfield Memorial Hospital Bakersfield not published $207.63 – $2,033.48
Fresno Medical Center FRESNO $4,748.80 not published
Antioch Medical Center ANTIOCH $4,748.80 not published
Redwood City Medical Center Redwood City $4,748.80 not published
Santa Clara Medical Center SANTA CLARA $4,748.80 not published
Baldwin Park Medical Center BALDWIN PARK $3,286.40 not published
Riverside Medical Center RIVERSIDE $3,286.40 not published

All California hospitals for this procedure →