Heparin bolus from bag 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

$23.38

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.

$155.84

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.

$2.36 with BLUE CROSS EXCHANGE vs $108.48 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 $2.36 ↓ -90%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $2.62 ↓ -89%
BLUE CROSS MCS BLUE CROSS MCS $3.15 ↓ -87%
BC MEDI-CAL BC MEDI-CAL $5.46 ↓ -77%
BLUE SHIELD EPN BLUE SHIELD EPN $13.24 ↓ -43%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $14.72 ↓ -37%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $14.72 ↓ -37%
UHC JLL CSP UHC JLL CSP $16.46 ↓ -30%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $17.33 ↓ -26%
UHC HMO UHC HMO $17.33 ↓ -26%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $19.26 ↓ -18%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $19.94 ↓ -15%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $19.94 ↓ -15%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $19.94 ↓ -15%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $19.94 ↓ -15%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $20.74 ↓ -11%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $20.74 ↓ -11%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $23.93 ↑ +2%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $25.92 ↑ +11%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $27.92 ↑ +19%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $29.70 ↑ +27%
HERITAGE/HPN COMM HERITAGE/HPN COMM $29.71 ↑ +27%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $31.91 ↑ +36%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $31.91 ↑ +36%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $31.91 ↑ +36%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $33.90 ↑ +45%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $35.89 ↑ +54%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $39.88 ↑ +71%
MEDI-CAL MEDI-CAL $39.88 ↑ +71%
HEALTHNET MCAL HEALTHNET MCAL $47.50 ↑ +103%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $53.44 ↑ +129%
AETNA- ALL PLANS AETNA- ALL PLANS $108.48 ↑ +364%

Visitor-reported prices

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Heparin bolus from bag at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $97.95 $0.27 – $20.80
Bakersfield Memorial Hospital Bakersfield $351.96 $0.33 – $20.54
Fresno Medical Center FRESNO $94.08 $0.22 – $0.22
St. John's Camarillo Hospital Camarillo $57.38 $0.33 – $20.10
Antioch Medical Center ANTIOCH $94.08 $0.22 – $0.22
Redwood City Medical Center Redwood City $94.08 $0.22 – $0.22
Santa Clara Medical Center SANTA CLARA $94.08 $0.22 – $0.22
Baldwin Park Medical Center BALDWIN PARK $87.36 $0.22 – $0.22

All California hospitals for this procedure →