Coombs direct 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

$73.05

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.

Full explanation →

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

$487.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.58 with BC MEDI-CAL vs $61.43 with BLUE CROSS MCS — 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 →

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
BC MEDI-CAL BC MEDI-CAL $1.58 ↓ -98%
HEALTHNET MCR ADV HEALTHNET MCR ADV $5.39 ↓ -93%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $5.39 ↓ -93%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $5.39 ↓ -93%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $5.39 ↓ -93%
UHC MCR ADV UHC MCR ADV $5.39 ↓ -93%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $5.39 ↓ -93%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $5.39 ↓ -93%
MEDI-CAL MEDI-CAL $6.18 ↓ -92%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $6.18 ↓ -92%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $6.47 ↓ -91%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $7.01 ↓ -90%
HEALTHNET MCAL HEALTHNET MCAL $7.36 ↓ -90%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $8.28 ↓ -89%
OSCAR - ALL PLANS OSCAR - ALL PLANS $8.62 ↓ -88%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $9.27 ↓ -87%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $9.70 ↓ -87%
BLUE SHIELD EPN BLUE SHIELD EPN $10.99 ↓ -85%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $12.13 ↓ -83%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $12.21 ↓ -83%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $12.21 ↓ -83%
UHC JLL CSP UHC JLL CSP $13.66 ↓ -81%
UHC HMO UHC HMO $14.38 ↓ -80%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $14.38 ↓ -80%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $16.32 ↓ -78%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $16.55 ↓ -77%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $16.55 ↓ -77%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $16.55 ↓ -77%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $16.55 ↓ -77%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $19.74 ↓ -73%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $19.74 ↓ -73%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $19.86 ↓ -73%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $21.52 ↓ -71%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $23.17 ↓ -68%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $24.65 ↓ -66%
HERITAGE/HPN COMM HERITAGE/HPN COMM $24.66 ↓ -66%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $26.48 ↓ -64%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $26.48 ↓ -64%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $26.48 ↓ -64%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $28.14 ↓ -61%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $29.79 ↓ -59%
AETNA- ALL PLANS AETNA- ALL PLANS $32.60 ↓ -55%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $46.07 ↓ -37%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $51.19 ↓ -30%
BLUE CROSS MCS BLUE CROSS MCS $61.43 ↓ -16%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Coombs direct at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $111.30 $6.47 – $26.25
Bakersfield Memorial Hospital Bakersfield $110.10 $6.47 – $26.25
Fresno Medical Center FRESNO $126.00 $64.00 – $64.00
St. John's Camarillo Hospital Camarillo $90.67 $5.83 – $43.12
Antioch Medical Center ANTIOCH $126.00 $64.00 – $64.00
Redwood City Medical Center Redwood City $126.00 $64.00 – $64.00
Santa Clara Medical Center SANTA CLARA $126.00 $64.00 – $64.00
Baldwin Park Medical Center BALDWIN PARK $121.16 $67.00 – $67.00

All California hospitals for this procedure →