Dilator fascial 10fx20cm 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

$476.70

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.

$3,178.00

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.

$163.68 with BLUE SHIELD EPN vs $660.62 with KERN HEALTH SYSTEMS MCAL — 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 SHIELD EPN BLUE SHIELD EPN $163.68 ↓ -66%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $181.92 ↓ -62%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $181.92 ↓ -62%
UHC JLL CSP UHC JLL CSP $203.51 ↓ -57%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $206.22 ↓ -57%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $214.21 ↓ -55%
UHC HMO UHC HMO $214.21 ↓ -55%
BLUE CROSS MCS BLUE CROSS MCS $229.15 ↓ -52%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $229.15 ↓ -52%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $238.12 ↓ -50%
AETNA- ALL PLANS AETNA- ALL PLANS $244.04 ↓ -49%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $246.50 ↓ -48%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $246.50 ↓ -48%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $246.50 ↓ -48%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $246.50 ↓ -48%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $256.36 ↓ -46%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $256.36 ↓ -46%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $295.80 ↓ -38%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $320.45 ↓ -33%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $345.10 ↓ -28%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $367.19 ↓ -23%
HERITAGE/HPN COMM HERITAGE/HPN COMM $367.29 ↓ -23%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $394.40 ↓ -17%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $394.40 ↓ -17%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $394.40 ↓ -17%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $419.05 ↓ -12%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $443.70 ↓ -7%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $493.00 ↑ +3%
MEDI-CAL MEDI-CAL $493.00 ↑ +3%
HEALTHNET MCAL HEALTHNET MCAL $587.16 ↑ +23%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $660.62 ↑ +39%

Visitor-reported prices

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Dilator fascial 10fx20cm at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $246.72 $25.00 – $90.00
Bakersfield Memorial Hospital Bakersfield $244.06 $25.00 – $97.00
St. John's Camarillo Hospital Camarillo $339.89 $18.36 – $53.04
Baldwin Park Medical Center BALDWIN PARK $3,900.00 not published
Riverside Medical Center RIVERSIDE $3,900.00 not published
Banner Lassen Medical Center Susanville $1,005.16 $102.91 – $243.47
Panorama Medical Center PANORAMA CITY $3,900.00 not published
Petaluma Valley Hospital Petaluma $652.85 not published

All California hospitals for this procedure →