Init pm e/m new pat 65+ yrs at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$43.95
Cash price 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.
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What you pay up front if you don't use insurance.
$293.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$101.65 with AETNA- ALL PLANS vs $413.13 with KERN HEALTH SYSTEMS MCAL — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| AETNA- ALL PLANS | AETNA- ALL PLANS | $101.65 | ↑ +131% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $161.30 | ↑ +267% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $161.30 | ↑ +267% |
| UHC JLL CSP | UHC JLL CSP | $170.23 | ↑ +287% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $170.23 | ↑ +287% |
| UHC HMO | UHC HMO | $170.23 | ↑ +287% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $205.10 | ↑ +367% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $219.75 | ↑ +400% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $219.75 | ↑ +400% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $234.40 | ↑ +433% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $238.97 | ↑ +444% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $252.54 | ↑ +475% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $252.54 | ↑ +475% |
| BLUE CROSS MCS | BLUE CROSS MCS | $267.97 | ↑ +510% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $267.97 | ↑ +510% |
| MEDI-CAL | MEDI-CAL | $293.00 | ↑ +567% |
| BC MEDI-CAL | BC MEDI-CAL | $293.00 | ↑ +567% |
| UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $293.00 | ↑ +567% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $413.13 | ↑ +840% |
Visitor-reported prices
Comments
Init pm e/m new pat 65+ yrs at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $197.37 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $180.77 | $134.00 – $351.00 |
| St. Mary Medical Center | Long Beach | $90.30 | $52.50 – $888.05 |
| Glendale Memorial Hospital Health Center | Glendale | $71.72 | $55.00 – $751.29 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $65.93 | $3.67 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $39.00 | $260.00 – $260.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $55.67 | $141.60 – $492.24 |