Insert spine fixation device 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

$83.55

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.

$557.00

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.

$57.40 with EMPLOYEE HEALTH PLAN - ALL PLANS vs $523.20 with UHC HMO — 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
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $57.40 ↓ -31%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $61.50 ↓ -26%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $61.50 ↓ -26%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $65.60 ↓ -21%
MEDI-CAL MEDI-CAL $82.00 ↓ -2%
BC MEDI-CAL BC MEDI-CAL $82.00 ↓ -2%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $82.00 ↓ -2%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $115.62 ↑ +38%
AETNA- ALL PLANS AETNA- ALL PLANS $356.34 ↑ +326%
BLUE SHIELD EPN BLUE SHIELD EPN $368.82 ↑ +341%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $389.76 ↑ +366%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $389.76 ↑ +366%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $490.43 ↑ +487%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $490.43 ↑ +487%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $495.53 ↑ +493%
BLUE CROSS MCS BLUE CROSS MCS $495.53 ↑ +493%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $523.20 ↑ +526%
UHC JLL CSP UHC JLL CSP $523.20 ↑ +526%
UHC HMO UHC HMO $523.20 ↑ +526%

Visitor-reported prices

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Insert spine fixation device at other California hospitals

Hospital City Cash price Negotiated range
Bakersfield Memorial Hospital Bakersfield not published $354.51 – $354.51
REEDLEY COMMUNITY HOSPITAL Reedley $105.83 $82.00 – $523.20
HANFORD COMMUNITY HOSPITAL Selma $105.83 $82.00 – $523.20
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $367.62 $20.67 – $523.20
WILLITS HOSPITAL INC Willits $167.10 $82.00 – $513.85
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $38.99 $82.00 – $523.20
SONORA COMMUNITY HOSPITAL Sonora $94.69 $82.00 – $579.89
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $150.39 $82.00 – $513.85

All California hospitals for this procedure →