Manipulation chest wall initial demonstration/evaluation 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

$87.15

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.

$581.00

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.

$28.54 with KAISER MCAL IP/OP ONLY vs $652.00 with BLUE CROSS MCS — 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
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $28.54 ↓ -67%
MEDI-CAL MEDI-CAL $28.54 ↓ -67%
HEALTHNET MCAL HEALTHNET MCAL $34.00 ↓ -61%
BC MEDI-CAL BC MEDI-CAL $36.25 ↓ -58%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $38.25 ↓ -56%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $171.12 ↑ +96%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $171.12 ↑ +96%
UHC MCR ADV UHC MCR ADV $171.12 ↑ +96%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $171.12 ↑ +96%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $171.12 ↑ +96%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $171.12 ↑ +96%
HEALTHNET MCR ADV HEALTHNET MCR ADV $171.12 ↑ +96%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $205.35 ↑ +136%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $222.46 ↑ +155%
OSCAR - ALL PLANS OSCAR - ALL PLANS $273.80 ↑ +214%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $280.62 ↑ +222%
AETNA- ALL PLANS AETNA- ALL PLANS $287.60 ↑ +230%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $290.50 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $290.50 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $290.50 ↑ +233%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $290.50 ↑ +233%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $294.33 ↑ +238%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $302.12 ↑ +247%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $302.12 ↑ +247%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $308.02 ↑ +253%
BLUE SHIELD EPN BLUE SHIELD EPN $335.00 ↑ +284%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $348.60 ↑ +300%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $373.00 ↑ +328%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $373.00 ↑ +328%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $377.65 ↑ +333%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $385.02 ↑ +342%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $406.70 ↑ +367%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $432.73 ↑ +397%
HERITAGE/HPN COMM HERITAGE/HPN COMM $432.85 ↑ +397%
UHC HMO UHC HMO $459.00 ↑ +427%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $464.80 ↑ +433%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $464.80 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $464.80 ↑ +433%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $482.00 ↑ +453%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $493.85 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $522.90 ↑ +500%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $543.00 ↑ +523%
UHC JLL CSP UHC JLL CSP $577.00 ↑ +562%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $607.00 ↑ +597%
BLUE CROSS MCS BLUE CROSS MCS $652.00 ↑ +648%

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Manipulation chest wall initial demonstration/evaluation at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $306.82 $35.46 – $727.76
Bakersfield Memorial Hospital Bakersfield $303.51 $35.46 – $12,607.00
Fresno Medical Center FRESNO $210.00 not published
St. John's Camarillo Hospital Camarillo $260.18 $40.03 – $594.00
Antioch Medical Center ANTIOCH $210.00 not published
Redwood City Medical Center Redwood City $210.00 not published
Santa Clara Medical Center SANTA CLARA $210.00 not published
Baldwin Park Medical Center BALDWIN PARK $243.36 not published

All California hospitals for this procedure →