Conjugated estrogens 25 mg solution for injection 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

$460.43

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.

$3,069.54

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.

$164.92 with BLUE CROSS EXCHANGE vs $8,349.15 with AETNA- ALL 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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $164.92 ↓ -64%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $183.25 ↓ -60%
BLUE CROSS MCS BLUE CROSS MCS $219.87 ↓ -52%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $401.50 ↓ -13%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $401.50 ↓ -13%
UHC MCR ADV UHC MCR ADV $401.50 ↓ -13%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $401.50 ↓ -13%
HEALTHNET MCR ADV HEALTHNET MCR ADV $401.50 ↓ -13%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $401.50 ↓ -13%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $401.50 ↓ -13%
BC MEDI-CAL BC MEDI-CAL $452.20 ↓ -2%
MEDI-CAL MEDI-CAL $473.31 ↑ +3%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $473.31 ↑ +3%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $481.80 ↑ +5%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $521.95 ↑ +13%
HEALTHNET MCAL HEALTHNET MCAL $563.71 ↑ +22%
OSCAR - ALL PLANS OSCAR - ALL PLANS $642.40 ↑ +40%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $690.59 ↑ +50%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $722.71 ↑ +57%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $903.38 ↑ +96%
BLUE SHIELD EPN BLUE SHIELD EPN $1,019.09 ↑ +121%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $1,132.66 ↑ +146%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $1,132.66 ↑ +146%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $1,258.51 ↑ +173%
UHC JLL CSP UHC JLL CSP $1,267.11 ↑ +175%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,333.72 ↑ +190%
UHC HMO UHC HMO $1,333.72 ↑ +190%
HERITAGE/HPN COMM HERITAGE/HPN COMM $1,451.89 ↑ +215%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $1,482.59 ↑ +222%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $1,534.77 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $1,534.77 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $1,534.77 ↑ +233%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $1,534.77 ↑ +233%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $1,596.16 ↑ +247%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $1,596.16 ↑ +247%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $1,841.72 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $1,995.20 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $2,148.68 ↑ +367%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $2,286.19 ↑ +397%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $2,455.63 ↑ +433%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $2,455.63 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $2,455.63 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $2,609.11 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $2,762.59 ↑ +500%
AETNA- ALL PLANS AETNA- ALL PLANS $8,349.15 ↑ +1713%

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Conjugated estrogens 25 mg solution for injection at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $298.66 $234.08 – $644.00
Bakersfield Memorial Hospital Bakersfield $295.44 $105.91 – $635.95
Fresno Medical Center FRESNO $661.29 $390.00 – $390.00
St. John's Camarillo Hospital Camarillo $491.44 $70.86 – $666.24
Antioch Medical Center ANTIOCH $661.29 $390.00 – $390.00
Redwood City Medical Center Redwood City $661.29 $390.00 – $390.00
Santa Clara Medical Center SANTA CLARA $661.29 $390.00 – $390.00
Baldwin Park Medical Center BALDWIN PARK $614.05 $390.00 – $390.00

All California hospitals for this procedure →