Initial nursing facility care/day 35 minutes 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

$49.20

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.

$328.00

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.

$46.90 with UNIVERSAL HC MCAL PROFEE ONLY vs $295.20 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 $46.90 ↓ -5%
MEDI-CAL MEDI-CAL $46.90 ↓ -5%
BC MEDI-CAL BC MEDI-CAL $46.90 ↓ -5%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $66.13 ↑ +34%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $67.27 ↑ +37%
HEALTHNET MCAL HEALTHNET MCAL $80.12 ↑ +63%
BLUE SHIELD EPN BLUE SHIELD EPN $108.90 ↑ +121%
AETNA- ALL PLANS AETNA- ALL PLANS $113.80 ↑ +131%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $121.03 ↑ +146%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $121.03 ↑ +146%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $122.06 ↑ +148%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $122.06 ↑ +148%
UHC MCR ADV UHC MCR ADV $122.06 ↑ +148%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $122.06 ↑ +148%
OSCAR - ALL PLANS OSCAR - ALL PLANS $122.06 ↑ +148%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $122.06 ↑ +148%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $122.06 ↑ +148%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $122.06 ↑ +148%
HEALTHNET MCR ADV HEALTHNET MCR ADV $122.06 ↑ +148%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $122.06 ↑ +148%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $122.06 ↑ +148%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $134.27 ↑ +173%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $134.27 ↑ +173%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $134.27 ↑ +173%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $137.20 ↑ +179%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $146.47 ↑ +198%
BLUE CROSS MCS BLUE CROSS MCS $150.82 ↑ +207%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $150.82 ↑ +207%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $158.42 ↑ +222%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $158.68 ↑ +223%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $162.37 ↑ +230%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $162.37 ↑ +230%
UHC JLL CSP UHC JLL CSP $169.30 ↑ +244%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $169.30 ↑ +244%
UHC HMO UHC HMO $169.30 ↑ +244%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $177.84 ↑ +261%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $183.09 ↑ +272%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $196.80 ↑ +300%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $209.94 ↑ +327%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $213.20 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $229.60 ↑ +367%
HERITAGE/HPN COMM HERITAGE/HPN COMM $244.36 ↑ +397%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $262.40 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $262.40 ↑ +433%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $262.40 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $278.80 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $295.20 ↑ +500%

Visitor-reported prices

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Initial nursing facility care/day 35 minutes at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $57.28 $22.25 – $84.28
Healdsburg Hospital Healdsburg $229.50 not published
Redwood Memorial Hospital Fortuna $109.65 not published
REEDLEY COMMUNITY HOSPITAL Reedley $62.32 $3.65 – $200.41
ST HELENA HOSPITAL Vallejo $44.25 $46.90 – $193.98
HANFORD COMMUNITY HOSPITAL Selma $62.32 $46.90 – $190.69
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $216.48 $46.90 – $176.97
WILLITS HOSPITAL INC Willits $98.40 $46.90 – $176.97

All California hospitals for this procedure →