Lap removal of rectum w/colostomy 45395 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

$157.50

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.

$1,050.00

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.

$1,050.00 with MEDI-CAL vs $3,635.88 with BLUE CROSS NON-MCS - ALL OTHER 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
MEDI-CAL MEDI-CAL $1,050.00 ↑ +567%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $1,050.00 ↑ +567%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $1,050.00 ↑ +567%
BC MEDI-CAL BC MEDI-CAL $1,050.00 ↑ +567%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $1,791.68 ↑ +1038%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $1,791.68 ↑ +1038%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $1,791.68 ↑ +1038%
HEALTHNET MCR ADV HEALTHNET MCR ADV $1,791.68 ↑ +1038%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $1,791.68 ↑ +1038%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $1,791.68 ↑ +1038%
OSCAR - ALL PLANS OSCAR - ALL PLANS $1,791.68 ↑ +1038%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $1,791.68 ↑ +1038%
UHC MCR ADV UHC MCR ADV $1,791.68 ↑ +1038%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $1,791.68 ↑ +1038%
AETNA- ALL PLANS AETNA- ALL PLANS $1,806.05 ↑ +1047%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $1,970.85 ↑ +1151%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $1,970.85 ↑ +1151%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $1,970.85 ↑ +1151%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $2,329.18 ↑ +1379%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $2,460.34 ↑ +1462%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $2,460.34 ↑ +1462%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $2,490.44 ↑ +1481%
BLUE SHIELD EPN BLUE SHIELD EPN $2,583.39 ↑ +1540%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $2,610.48 ↑ +1557%
UHC HMO UHC HMO $2,638.25 ↑ +1575%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $2,638.25 ↑ +1575%
UHC JLL CSP UHC JLL CSP $2,638.25 ↑ +1575%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $2,687.52 ↑ +1606%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $2,730.07 ↑ +1633%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $2,730.07 ↑ +1633%
BLUE CROSS MCS BLUE CROSS MCS $3,635.88 ↑ +2208%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $3,635.88 ↑ +2208%

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Lap removal of rectum w/colostomy 45395 at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $1,661.04 – $4,399.26
Bakersfield Memorial Hospital Bakersfield not published $1,661.04 – $4,399.26
REEDLEY COMMUNITY HOSPITAL Reedley $199.50 $56.88 – $3,472.23
HANFORD COMMUNITY HOSPITAL Selma $199.50 $130.00 – $3,472.23
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $693.00 $1,050.00 – $2,730.07
WILLITS HOSPITAL INC Willits $315.00 $155.00 – $3,580.39
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $283.50 $289.65 – $3,635.88
ADVENTIST HEALTH TULARE Tulare $199.50 $160.00 – $3,094.17

All California hospitals for this procedure →