Initial hosp neonate 28 d/less than not critically ill 99477 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

$122.85

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.

$819.00

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.

$265.48 with UNIVERSAL HC MCAL PROFEE ONLY vs $737.10 with GALAXY HEALTH NETWORK IP/OP ONLY- 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
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $265.48 ↑ +116%
BC MEDI-CAL BC MEDI-CAL $265.48 ↑ +116%
MEDI-CAL MEDI-CAL $265.48 ↑ +116%
BLUE SHIELD EPN BLUE SHIELD EPN $271.91 ↑ +121%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $298.61 ↑ +143%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $298.61 ↑ +143%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $298.61 ↑ +143%
UHC MCR ADV UHC MCR ADV $298.61 ↑ +143%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $298.61 ↑ +143%
OSCAR - ALL PLANS OSCAR - ALL PLANS $298.61 ↑ +143%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $298.61 ↑ +143%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $298.61 ↑ +143%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $298.61 ↑ +143%
HEALTHNET MCR ADV HEALTHNET MCR ADV $298.61 ↑ +143%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $298.61 ↑ +143%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $302.21 ↑ +146%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $302.21 ↑ +146%
AETNA- ALL PLANS AETNA- ALL PLANS $320.06 ↑ +161%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $328.47 ↑ +167%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $328.47 ↑ +167%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $328.47 ↑ +167%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $342.59 ↑ +179%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $358.33 ↑ +192%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $374.33 ↑ +205%
BLUE CROSS MCS BLUE CROSS MCS $380.67 ↑ +210%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $380.67 ↑ +210%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $380.80 ↑ +210%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $388.19 ↑ +216%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $395.58 ↑ +222%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $435.07 ↑ +254%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $435.47 ↑ +254%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $435.47 ↑ +254%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $447.92 ↑ +265%
HEALTHNET MCAL HEALTHNET MCAL $453.54 ↑ +269%
UHC JLL CSP UHC JLL CSP $457.79 ↑ +273%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $457.79 ↑ +273%
UHC HMO UHC HMO $457.79 ↑ +273%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $491.40 ↑ +300%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $513.61 ↑ +318%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $532.35 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $573.30 ↑ +367%
HERITAGE/HPN COMM HERITAGE/HPN COMM $610.16 ↑ +397%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $655.20 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $655.20 ↑ +433%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $655.20 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $696.15 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $737.10 ↑ +500%

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Initial hosp neonate 28 d/less than not critically ill 99477 at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $155.61 $9.87 – $622.20
HANFORD COMMUNITY HOSPITAL Selma $155.61 $139.00 – $628.33
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $540.54 $265.48 – $457.79
WILLITS HOSPITAL INC Willits $245.70 $265.48 – $631.59
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $59.15 $152.00 – $622.20
SONORA COMMUNITY HOSPITAL Sonora $139.23 $152.00 – $631.59
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $221.13 $265.48 – $630.60
ADVENTIST HEALTH TULARE Tulare $155.61 $265.48 – $545.60

All California hospitals for this procedure →