Mayo vitamin b3 (niacin) 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

$14.70

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.

$98.00

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.

$2.94 with BC MEDI-CAL vs $132.48 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
BC MEDI-CAL BC MEDI-CAL $2.94 ↓ -80%
HEALTHNET MCR ADV HEALTHNET MCR ADV $17.06 ↑ +16%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $17.06 ↑ +16%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $17.06 ↑ +16%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $17.06 ↑ +16%
UHC MCR ADV UHC MCR ADV $17.06 ↑ +16%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $17.06 ↑ +16%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $17.06 ↑ +16%
MEDI-CAL MEDI-CAL $18.12 ↑ +23%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $18.12 ↑ +23%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $20.47 ↑ +39%
HEALTHNET MCAL HEALTHNET MCAL $21.58 ↑ +47%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $22.18 ↑ +51%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $24.28 ↑ +65%
BLUE SHIELD EPN BLUE SHIELD EPN $26.56 ↑ +81%
OSCAR - ALL PLANS OSCAR - ALL PLANS $27.30 ↑ +86%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $29.34 ↑ +100%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $29.52 ↑ +101%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $29.52 ↑ +101%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $30.71 ↑ +109%
UHC JLL CSP UHC JLL CSP $33.02 ↑ +125%
UHC HMO UHC HMO $34.76 ↑ +136%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $34.76 ↑ +136%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $38.39 ↑ +161%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $39.44 ↑ +168%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $40.00 ↑ +172%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $40.00 ↑ +172%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $40.00 ↑ +172%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $40.00 ↑ +172%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $48.00 ↑ +227%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $50.68 ↑ +245%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $50.68 ↑ +245%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $52.00 ↑ +254%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $56.00 ↑ +281%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $59.58 ↑ +305%
HERITAGE/HPN COMM HERITAGE/HPN COMM $59.60 ↑ +305%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $64.00 ↑ +335%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $64.00 ↑ +335%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $64.00 ↑ +335%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $68.00 ↑ +363%
AETNA- ALL PLANS AETNA- ALL PLANS $70.32 ↑ +378%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $72.00 ↑ +390%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $99.36 ↑ +576%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $110.40 ↑ +651%
BLUE CROSS MCS BLUE CROSS MCS $132.48 ↑ +801%

Visitor-reported prices

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Mayo vitamin b3 (niacin) at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $36.36 $3.50 – $49.03
Bakersfield Memorial Hospital Bakersfield $35.97 $3.50 – $49.03
Fresno Medical Center FRESNO $63.84 $16.00 – $16.00
St. John's Camarillo Hospital Camarillo $42.93 $17.06 – $76.44
Antioch Medical Center ANTIOCH $63.84 $16.00 – $16.00
Redwood City Medical Center Redwood City $63.84 $16.00 – $16.00
Santa Clara Medical Center SANTA CLARA $63.84 $16.00 – $16.00
Baldwin Park Medical Center BALDWIN PARK $93.08 $12.00 – $12.00

All California hospitals for this procedure →