Ip/obs cnsltj new/est low 45 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

$37.20

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.

$248.00

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.

$69.06 with BLUE SHIELD EPN vs $278.72 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 →

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 SHIELD EPN BLUE SHIELD EPN $69.06 ↑ +86%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $76.75 ↑ +106%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $76.75 ↑ +106%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $87.01 ↑ +134%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $96.68 ↑ +160%
BLUE CROSS MCS BLUE CROSS MCS $96.68 ↑ +160%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $100.46 ↑ +170%
AETNA- ALL PLANS AETNA- ALL PLANS $102.08 ↑ +174%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $104.00 ↑ +180%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $104.00 ↑ +180%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $104.00 ↑ +180%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $104.00 ↑ +180%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $124.80 ↑ +235%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $135.20 ↑ +263%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $144.71 ↑ +289%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $144.71 ↑ +289%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $145.60 ↑ +291%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $145.60 ↑ +291%
UHC HMO UHC HMO $152.59 ↑ +310%
UHC JLL CSP UHC JLL CSP $152.59 ↑ +310%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $152.59 ↑ +310%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $154.92 ↑ +316%
HERITAGE/HPN COMM HERITAGE/HPN COMM $154.96 ↑ +317%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $166.40 ↑ +347%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $166.40 ↑ +347%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $166.40 ↑ +347%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $176.80 ↑ +375%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $187.20 ↑ +403%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $208.00 ↑ +459%
MEDI-CAL MEDI-CAL $208.00 ↑ +459%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $208.00 ↑ +459%
BC MEDI-CAL BC MEDI-CAL $208.00 ↑ +459%
HEALTHNET MCAL HEALTHNET MCAL $247.73 ↑ +566%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $278.72 ↑ +649%

Visitor-reported prices

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Ip/obs cnsltj new/est low 45 at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $81.26 $31.57 – $119.56
Healdsburg Hospital Healdsburg $99.96 not published
REEDLEY COMMUNITY HOSPITAL Reedley $55.67 $3.29 – $675.81
ST HELENA HOSPITAL Vallejo $55.65 $141.17 – $371.00
HANFORD COMMUNITY HOSPITAL Selma $39.52 $130.68 – $349.44
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $193.38 $20.67 – $301.60
WILLITS HOSPITAL INC Willits $87.90 $115.27 – $407.41
RIDEOUT MEMORIAL HOSPITAL Marysville $59.18 $3.62 – $497.65

All California hospitals for this procedure →