Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) 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

$19.35

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.

$129.00

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.

$1.29 with BLUE CROSS EXCHANGE vs $146.39 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 $1.29 ↓ -93%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1.43 ↓ -93%
BLUE CROSS MCS BLUE CROSS MCS $1.72 ↓ -91%
BLUE SHIELD EPN BLUE SHIELD EPN $17.87 ↓ -8%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $19.86 ↑ +3%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $19.86 ↑ +3%
UHC JLL CSP UHC JLL CSP $22.22 ↑ +15%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $23.38 ↑ +21%
UHC HMO UHC HMO $23.38 ↑ +21%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $26.00 ↑ +34%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $26.91 ↑ +39%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $26.91 ↑ +39%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $26.91 ↑ +39%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $26.91 ↑ +39%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $27.99 ↑ +45%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $27.99 ↑ +45%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $32.29 ↑ +67%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $34.98 ↑ +81%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $37.67 ↑ +95%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $40.09 ↑ +107%
HERITAGE/HPN COMM HERITAGE/HPN COMM $40.10 ↑ +107%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $43.06 ↑ +123%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $43.06 ↑ +123%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $43.06 ↑ +123%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $45.75 ↑ +136%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $48.44 ↑ +150%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $53.82 ↑ +178%
MEDI-CAL MEDI-CAL $53.82 ↑ +178%
HEALTHNET MCAL HEALTHNET MCAL $64.10 ↑ +231%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $72.12 ↑ +273%
AETNA- ALL PLANS AETNA- ALL PLANS $146.39 ↑ +657%

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Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $379.91 $10.40 – $26.00
Bakersfield Memorial Hospital Bakersfield $65.33 $6.50 – $26.00
Fresno Medical Center FRESNO $188.44 $0.08 – $0.08
St. John's Camarillo Hospital Camarillo $57.38 $18.09 – $52.26
Antioch Medical Center ANTIOCH $188.44 $0.08 – $0.08
Redwood City Medical Center Redwood City $188.44 $0.08 – $0.08
Santa Clara Medical Center SANTA CLARA $188.44 $0.08 – $0.08
Baldwin Park Medical Center BALDWIN PARK $174.98 $0.08 – $0.08

All California hospitals for this procedure →