Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution 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

$2,438.59

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.

$16,257.26

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.

$32.30 with BC MEDI-CAL vs $44,219.74 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
BC MEDI-CAL BC MEDI-CAL $32.30 ↓ -99%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $32.87 ↓ -99%
UHC MCR ADV UHC MCR ADV $32.87 ↓ -99%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $32.87 ↓ -99%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $32.87 ↓ -99%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $32.87 ↓ -99%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $32.87 ↓ -99%
HEALTHNET MCR ADV HEALTHNET MCR ADV $32.87 ↓ -99%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $39.45 ↓ -98%
MEDI-CAL MEDI-CAL $41.01 ↓ -98%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $41.01 ↓ -98%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $42.74 ↓ -98%
HEALTHNET MCAL HEALTHNET MCAL $48.84 ↓ -98%
OSCAR - ALL PLANS OSCAR - ALL PLANS $52.60 ↓ -98%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $56.54 ↓ -98%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $59.17 ↓ -98%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $73.97 ↓ -97%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $77.09 ↓ -97%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $85.65 ↓ -96%
BLUE CROSS MCS BLUE CROSS MCS $102.77 ↓ -96%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $3,900.00 ↑ +60%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $4,877.18 ↑ +100%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $4,877.18 ↑ +100%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $4,877.18 ↑ +100%
BLUE SHIELD EPN BLUE SHIELD EPN $5,397.41 ↑ +121%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $5,998.93 ↑ +146%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $5,998.93 ↑ +146%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $6,665.47 ↑ +173%
UHC JLL CSP UHC JLL CSP $6,711.00 ↑ +175%
UHC HMO UHC HMO $7,063.78 ↑ +190%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $7,063.78 ↑ +190%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $7,510.85 ↑ +208%
HERITAGE/HPN COMM HERITAGE/HPN COMM $7,689.68 ↑ +215%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $8,453.77 ↑ +247%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $8,453.77 ↑ +247%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $9,754.35 ↑ +300%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $10,121.00 ↑ +315%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $10,567.22 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $11,380.08 ↑ +367%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $13,005.80 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $13,005.80 ↑ +433%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $13,005.80 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $13,818.67 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $14,631.53 ↑ +500%
AETNA- ALL PLANS AETNA- ALL PLANS $44,219.74 ↑ +1713%

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Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at other California hospitals

Hospital City Cash price Negotiated range
Bakersfield Memorial Hospital Bakersfield $4,024.53 $38.03 – $8,663.14
Fresno Medical Center FRESNO $5,417.88 $30.00 – $30.00
Antioch Medical Center ANTIOCH $5,417.88 $30.00 – $30.00
Redwood City Medical Center Redwood City $5,417.88 $30.00 – $30.00
Santa Clara Medical Center SANTA CLARA $5,417.88 $30.00 – $30.00
Baldwin Park Medical Center BALDWIN PARK $5,030.89 $30.00 – $30.00
Riverside Medical Center RIVERSIDE $5,030.89 $30.00 – $30.00
Fremont Medical Center FREMONT $5,417.88 $30.00 – $30.00

All California hospitals for this procedure →