Lead acuity x4 spiral l 86cm 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

$4,275.00

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.

$28,500.00

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.

$746.00 with BLUE SHIELD EPN vs $5,625.00 with BC MEDI-CAL — 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 $746.00 ↓ -83%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $829.14 ↓ -81%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $829.14 ↓ -81%
UHC JLL CSP UHC JLL CSP $927.56 ↓ -78%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $939.92 ↓ -78%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $976.32 ↓ -77%
UHC HMO UHC HMO $976.32 ↓ -77%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $1,011.15 ↓ -76%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $1,027.33 ↓ -76%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,044.41 ↓ -76%
BLUE CROSS MCS BLUE CROSS MCS $1,044.41 ↓ -76%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $1,085.30 ↓ -75%
AETNA- ALL PLANS AETNA- ALL PLANS $1,112.27 ↓ -74%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $1,123.50 ↓ -74%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $1,123.50 ↓ -74%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $1,123.50 ↓ -74%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $1,168.44 ↓ -73%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $1,168.44 ↓ -73%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $1,348.20 ↓ -68%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $1,460.55 ↓ -66%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $1,572.90 ↓ -63%
HERITAGE/HPN COMM HERITAGE/HPN COMM $1,674.02 ↓ -61%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $1,797.60 ↓ -58%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $1,797.60 ↓ -58%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $1,797.60 ↓ -58%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $1,909.95 ↓ -55%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $2,022.30 ↓ -53%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $2,247.00 ↓ -47%
MEDI-CAL MEDI-CAL $2,247.00 ↓ -47%
HEALTHNET MCAL HEALTHNET MCAL $2,676.18 ↓ -37%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $2,690.42 ↓ -37%
BC MEDI-CAL BC MEDI-CAL $5,625.00 ↑ +32%

Visitor-reported prices

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Lead acuity x4 spiral l 86cm at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $7,529.45 $807.50 – $2,584.00
Bakersfield Memorial Hospital Bakersfield $7,448.27 $807.50 – $2,551.70
Fresno Medical Center FRESNO $48,300.00 not published
St. John's Camarillo Hospital Camarillo $7,999.20 $906.72 – $2,946.84
Antioch Medical Center ANTIOCH $48,300.00 not published
Redwood City Medical Center Redwood City $48,300.00 not published
Santa Clara Medical Center SANTA CLARA $48,300.00 not published
Baldwin Park Medical Center BALDWIN PARK $5,460.00 not published

All California hospitals for this procedure →