Homocysteine 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

$39.30

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.

$262.00

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.

$3.49 with BC MEDI-CAL vs $192.76 with BLUE CROSS MCS — 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 $3.49 ↓ -91%
BLUE SHIELD EPN BLUE SHIELD EPN $4.98 ↓ -87%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $5.53 ↓ -86%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $5.53 ↓ -86%
UHC JLL CSP UHC JLL CSP $6.19 ↓ -84%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $6.51 ↓ -83%
UHC HMO UHC HMO $6.51 ↓ -83%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $7.39 ↓ -81%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $7.50 ↓ -81%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $7.50 ↓ -81%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $7.50 ↓ -81%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $7.50 ↓ -81%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $8.99 ↓ -77%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $9.74 ↓ -75%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $10.49 ↓ -73%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $11.16 ↓ -72%
HERITAGE/HPN COMM HERITAGE/HPN COMM $11.17 ↓ -72%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $11.99 ↓ -69%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $11.99 ↓ -69%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $11.99 ↓ -69%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $12.74 ↓ -68%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $13.49 ↓ -66%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $14.99 ↓ -62%
HEALTHNET MCAL HEALTHNET MCAL $14.99 ↓ -62%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $14.99 ↓ -62%
MEDI-CAL MEDI-CAL $14.99 ↓ -62%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $17.92 ↓ -54%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $17.92 ↓ -54%
UHC MCR ADV UHC MCR ADV $17.92 ↓ -54%
HEALTHNET MCR ADV HEALTHNET MCR ADV $17.92 ↓ -54%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $17.92 ↓ -54%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $17.92 ↓ -54%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $17.92 ↓ -54%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $21.50 ↓ -45%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $23.30 ↓ -41%
OSCAR - ALL PLANS OSCAR - ALL PLANS $28.67 ↓ -27%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $30.82 ↓ -22%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $32.26 ↓ -18%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $40.32 ↑ +3%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $61.88 ↑ +57%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $61.88 ↑ +57%
AETNA- ALL PLANS AETNA- ALL PLANS $102.31 ↑ +160%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $144.57 ↑ +268%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $160.63 ↑ +309%
BLUE CROSS MCS BLUE CROSS MCS $192.76 ↑ +390%

Visitor-reported prices

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Homocysteine at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $43.78 $6.50 – $51.50
Bakersfield Memorial Hospital Bakersfield $43.31 $6.50 – $51.50
Fresno Medical Center FRESNO $143.36 $16.00 – $16.00
St. John's Camarillo Hospital Camarillo $75.78 $3.51 – $47.56
Antioch Medical Center ANTIOCH $143.36 $16.00 – $16.00
Redwood City Medical Center Redwood City $143.36 $16.00 – $16.00
Santa Clara Medical Center SANTA CLARA $143.36 $16.00 – $16.00
Baldwin Park Medical Center BALDWIN PARK $28.08 $12.00 – $12.00

All California hospitals for this procedure →