Irinotecan 20 mg/ml intravenous solution (wrapper) 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

$163.87

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,092.43

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.15 with BC MEDI-CAL vs $587.56 with BLUE CROSS MCS — same scan, same building. Share

Negotiated rates by payer
?

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
BC MEDI-CAL BC MEDI-CAL $3.15 ↓ -98%
BLUE SHIELD EPN BLUE SHIELD EPN $46.36 ↓ -72%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $51.53 ↓ -69%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $51.53 ↓ -69%
UHC JLL CSP UHC JLL CSP $57.64 ↓ -65%
UHC HMO UHC HMO $60.67 ↓ -63%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $60.67 ↓ -63%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $63.84 ↓ -61%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $67.44 ↓ -59%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $69.82 ↓ -57%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $69.82 ↓ -57%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $69.82 ↓ -57%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $69.82 ↓ -57%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $72.61 ↓ -56%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $72.61 ↓ -56%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $83.78 ↓ -49%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $90.76 ↓ -45%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $97.75 ↓ -40%
HERITAGE/HPN COMM HERITAGE/HPN COMM $104.03 ↓ -37%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $111.71 ↓ -32%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $111.71 ↓ -32%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $111.71 ↓ -32%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $118.69 ↓ -28%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $125.67 ↓ -23%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $139.64 ↓ -15%
MEDI-CAL MEDI-CAL $139.64 ↓ -15%
HEALTHNET MCAL HEALTHNET MCAL $166.31 ↑ +1%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $187.11 ↑ +14%
AETNA- ALL PLANS AETNA- ALL PLANS $379.81 ↑ +132%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $440.73 ↑ +169%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $489.69 ↑ +199%
BLUE CROSS MCS BLUE CROSS MCS $587.56 ↑ +259%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Irinotecan 20 mg/ml intravenous solution (wrapper) at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $408.10 $1.64 – $50.40
Bakersfield Memorial Hospital Bakersfield $403.70 $2.30 – $49.77
Fresno Medical Center FRESNO $306.68 $1.40 – $1.40
St. John's Camarillo Hospital Camarillo $39.42 $2.48 – $29.41
Antioch Medical Center ANTIOCH $306.68 $1.40 – $1.40
Redwood City Medical Center Redwood City $306.68 $1.40 – $1.40
Santa Clara Medical Center SANTA CLARA $306.68 $1.40 – $1.40
Baldwin Park Medical Center BALDWIN PARK $284.78 $1.40 – $1.40

All California hospitals for this procedure →