Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) 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

$201.86

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.

$1,345.71

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.

$1.29 with BLUE CROSS EXCHANGE vs $3,660.33 with AETNA- ALL 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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $1.29 ↓ -99%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1.43 ↓ -99%
BLUE CROSS MCS BLUE CROSS MCS $1.72 ↓ -99%
BLUE SHIELD EPN BLUE SHIELD EPN $446.78 ↑ +121%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $496.57 ↑ +146%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $496.57 ↑ +146%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $551.74 ↑ +173%
UHC JLL CSP UHC JLL CSP $555.51 ↑ +175%
UHC HMO UHC HMO $584.71 ↑ +190%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $584.71 ↑ +190%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $649.98 ↑ +222%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $672.85 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $672.85 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $672.85 ↑ +233%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $672.85 ↑ +233%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $699.77 ↑ +247%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $699.77 ↑ +247%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $807.43 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $874.71 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $942.00 ↑ +367%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $1,002.28 ↑ +397%
HERITAGE/HPN COMM HERITAGE/HPN COMM $1,002.55 ↑ +397%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $1,076.57 ↑ +433%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $1,076.57 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $1,076.57 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $1,143.85 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $1,211.14 ↑ +500%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $1,345.71 ↑ +567%
MEDI-CAL MEDI-CAL $1,345.71 ↑ +567%
HEALTHNET MCAL HEALTHNET MCAL $1,602.74 ↑ +694%
AETNA- ALL PLANS AETNA- ALL PLANS $3,660.33 ↑ +1713%

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Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $272.69 $0.85 – $139.20
Bakersfield Memorial Hospital Bakersfield $269.75 $0.83 – $137.46
Fresno Medical Center FRESNO $329.09 not published
St. John's Camarillo Hospital Camarillo $242.66 $0.55 – $432.12
Antioch Medical Center ANTIOCH $329.09 not published
Redwood City Medical Center Redwood City $329.09 not published
Santa Clara Medical Center SANTA CLARA $329.09 not published
Baldwin Park Medical Center BALDWIN PARK $305.58 not published

All California hospitals for this procedure →