External newborn metabolic screening panel 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

$33.75

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.

$225.00

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.

$10.96 with BLUE SHIELD EPN vs $196.48 with BC MEDI-CAL — 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 $10.96 ↓ -68%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $12.18 ↓ -64%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $12.18 ↓ -64%
UHC JLL CSP UHC JLL CSP $13.62 ↓ -60%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $13.80 ↓ -59%
UHC HMO UHC HMO $14.34 ↓ -58%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $14.34 ↓ -58%
BLUE CROSS MCS BLUE CROSS MCS $15.34 ↓ -55%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $15.34 ↓ -55%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $15.94 ↓ -53%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $16.50 ↓ -51%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $16.50 ↓ -51%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $16.50 ↓ -51%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $16.50 ↓ -51%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $17.16 ↓ -49%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $17.16 ↓ -49%
AETNA- ALL PLANS AETNA- ALL PLANS $19.42 ↓ -42%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $19.80 ↓ -41%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $21.45 ↓ -36%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $23.10 ↓ -32%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $24.58 ↓ -27%
HERITAGE/HPN COMM HERITAGE/HPN COMM $24.59 ↓ -27%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $26.40 ↓ -22%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $26.40 ↓ -22%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $26.40 ↓ -22%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $28.05 ↓ -17%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $29.70 ↓ -12%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $33.00 ↓ -2%
MEDI-CAL MEDI-CAL $33.00 ↓ -2%
HEALTHNET MCAL HEALTHNET MCAL $39.30 ↑ +16%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $44.22 ↑ +31%
BC MEDI-CAL BC MEDI-CAL $196.48 ↑ +482%

Visitor-reported prices

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External newborn metabolic screening panel at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $87.56 $118.00 – $188.80
Bakersfield Memorial Hospital Bakersfield $86.62 $118.00 – $233.64
Fresno Medical Center FRESNO $109.76 not published
St. John's Camarillo Hospital Camarillo $91.98 $56.70 – $163.80
Antioch Medical Center ANTIOCH $109.76 not published
Redwood City Medical Center Redwood City $109.76 not published
Santa Clara Medical Center SANTA CLARA $109.76 not published
Fremont Medical Center FREMONT $109.76 not published

All California hospitals for this procedure →