Dexamethasone 4 mg tablet 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

$1.05

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.

$7.02

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.

$1.07 with BLUE CROSS EXCHANGE vs $9.71 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 $1.07 ↑ +2%
BLUE SHIELD EPN BLUE SHIELD EPN $1.19 ↑ +13%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1.19 ↑ +13%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $1.32 ↑ +26%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $1.32 ↑ +26%
BLUE CROSS MCS BLUE CROSS MCS $1.43 ↑ +36%
UHC JLL CSP UHC JLL CSP $1.47 ↑ +40%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1.55 ↑ +48%
UHC HMO UHC HMO $1.55 ↑ +48%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $1.73 ↑ +65%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $1.79 ↑ +70%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $1.79 ↑ +70%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $1.79 ↑ +70%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $1.79 ↑ +70%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $1.86 ↑ +77%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $1.86 ↑ +77%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $2.14 ↑ +104%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $2.32 ↑ +121%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $2.50 ↑ +138%
HERITAGE/HPN COMM HERITAGE/HPN COMM $2.66 ↑ +153%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $2.66 ↑ +153%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $2.86 ↑ +172%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $2.86 ↑ +172%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $2.86 ↑ +172%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $3.04 ↑ +190%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $3.21 ↑ +206%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $3.57 ↑ +240%
MEDI-CAL MEDI-CAL $3.57 ↑ +240%
HEALTHNET MCAL HEALTHNET MCAL $4.25 ↑ +305%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $4.79 ↑ +356%
AETNA- ALL PLANS AETNA- ALL PLANS $9.71 ↑ +825%

Visitor-reported prices

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Dexamethasone 4 mg tablet at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $4.09 $0.04 – $3.20
Bakersfield Memorial Hospital Bakersfield $7.34 $0.09 – $3.16
St. John's Camarillo Hospital Camarillo $8.76 $0.07 – $4.50
Petaluma Valley Hospital Petaluma $5.61 $0.12 – $0.43
Arroyo Grande Hospital Santa Maria $5.57 $0.09 – $3.92
Mark Twain Medical Center San Andreas $3.92 $1.53 – $5.77
French Hospital San Luis Obispo $5.10 $0.07 – $3.92
Queen of The Valley Medical Center Napa $5.61 $0.12 – $0.47

All California hospitals for this procedure →