Human epididymis protein 4 (he4) 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

$21.71

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.

$144.72

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.

$6.14 with BLUE SHIELD EPN vs $303.69 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
BLUE SHIELD EPN BLUE SHIELD EPN $6.14 ↓ -72%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $6.83 ↓ -69%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $6.83 ↓ -69%
UHC JLL CSP UHC JLL CSP $7.64 ↓ -65%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $8.04 ↓ -63%
UHC HMO UHC HMO $8.04 ↓ -63%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $9.12 ↓ -58%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $9.25 ↓ -57%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $9.25 ↓ -57%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $9.25 ↓ -57%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $9.25 ↓ -57%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $11.10 ↓ -49%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $12.03 ↓ -45%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $12.95 ↓ -40%
HERITAGE/HPN COMM HERITAGE/HPN COMM $13.78 ↓ -37%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $13.78 ↓ -37%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $14.80 ↓ -32%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $14.80 ↓ -32%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $14.80 ↓ -32%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $15.73 ↓ -28%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $16.65 ↓ -23%
MEDI-CAL MEDI-CAL $18.50 ↓ -15%
HEALTHNET MCAL HEALTHNET MCAL $18.50 ↓ -15%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $18.50 ↓ -15%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $18.50 ↓ -15%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $20.81 ↓ -4%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $20.81 ↓ -4%
HEALTHNET MCR ADV HEALTHNET MCR ADV $20.81 ↓ -4%
UHC MCR ADV UHC MCR ADV $20.81 ↓ -4%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $20.81 ↓ -4%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $20.81 ↓ -4%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $20.81 ↓ -4%
BC MEDI-CAL BC MEDI-CAL $21.53 ↓ -1%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $24.97 ↑ +15%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $27.05 ↑ +25%
OSCAR - ALL PLANS OSCAR - ALL PLANS $33.30 ↑ +53%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $35.79 ↑ +65%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $37.46 ↑ +73%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $46.82 ↑ +116%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $76.36 ↑ +252%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $76.36 ↑ +252%
AETNA- ALL PLANS AETNA- ALL PLANS $126.24 ↑ +481%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $227.76 ↑ +949%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $253.07 ↑ +1066%
BLUE CROSS MCS BLUE CROSS MCS $303.69 ↑ +1299%

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Human epididymis protein 4 (he4) at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $94.98 $18.50 – $59.82
Bakersfield Memorial Hospital Bakersfield $93.96 $18.50 – $59.82
Fresno Medical Center FRESNO $110.32 $19.00 – $19.00
St. John's Camarillo Hospital Camarillo $21.90 $6.48 – $55.23
Antioch Medical Center ANTIOCH $110.32 $19.00 – $19.00
Redwood City Medical Center Redwood City $110.32 $19.00 – $19.00
Santa Clara Medical Center SANTA CLARA $110.32 $19.00 – $19.00
Baldwin Park Medical Center BALDWIN PARK $215.28 $15.00 – $15.00

All California hospitals for this procedure →