Mayo alkaloids definitive assay nicotine/cotinine 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

$20.40

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.

$136.00

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.

$0.05 with AETNA- ALL PLANS vs $329.24 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
AETNA- ALL PLANS AETNA- ALL PLANS $0.05 ↓ -100%
BLUE SHIELD EPN BLUE SHIELD EPN $3.32 ↓ -84%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $3.69 ↓ -82%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $3.69 ↓ -82%
UHC JLL CSP UHC JLL CSP $4.13 ↓ -80%
UHC HMO UHC HMO $4.35 ↓ -79%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $4.35 ↓ -79%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $4.93 ↓ -76%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $5.00 ↓ -75%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $5.00 ↓ -75%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $5.00 ↓ -75%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $5.00 ↓ -75%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $5.20 ↓ -75%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $5.20 ↓ -75%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $6.00 ↓ -71%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $6.50 ↓ -68%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $7.00 ↓ -66%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $7.45 ↓ -63%
HERITAGE/HPN COMM HERITAGE/HPN COMM $7.45 ↓ -63%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $8.00 ↓ -61%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $8.00 ↓ -61%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $8.00 ↓ -61%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $8.50 ↓ -58%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $9.00 ↓ -56%
MEDI-CAL MEDI-CAL $10.00 ↓ -51%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $10.00 ↓ -51%
HEALTHNET MCAL HEALTHNET MCAL $11.91 ↓ -42%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $13.40 ↓ -34%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $246.93 ↑ +1110%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $274.37 ↑ +1245%
BLUE CROSS MCS BLUE CROSS MCS $329.24 ↑ +1514%

Visitor-reported prices

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Mayo alkaloids definitive assay nicotine/cotinine at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $80.08 $29.00 – $29.00
Antioch Medical Center ANTIOCH $80.08 $29.00 – $29.00
Redwood City Medical Center Redwood City $80.08 $29.00 – $29.00
Santa Clara Medical Center SANTA CLARA $80.08 $29.00 – $29.00
Baldwin Park Medical Center BALDWIN PARK $248.56 $18.00 – $18.00
Riverside Medical Center RIVERSIDE $248.56 $18.00 – $18.00
Fremont Medical Center FREMONT $80.08 $29.00 – $29.00
Banner Lassen Medical Center Susanville $26.29 $17.22 – $40.74

All California hospitals for this procedure →