Microdissection manual 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

$24.90

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.

$166.00

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.

$4.85 with BLUE SHIELD EPN vs $1,382.79 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
BLUE SHIELD EPN BLUE SHIELD EPN $4.85 ↓ -81%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $5.39 ↓ -78%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $5.39 ↓ -78%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $7.20 ↓ -71%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $7.30 ↓ -71%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $7.30 ↓ -71%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $7.30 ↓ -71%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $7.30 ↓ -71%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $8.76 ↓ -65%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $9.49 ↓ -62%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $10.22 ↓ -59%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $10.87 ↓ -56%
HERITAGE/HPN COMM HERITAGE/HPN COMM $10.88 ↓ -56%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $11.68 ↓ -53%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $11.68 ↓ -53%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $11.68 ↓ -53%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $12.41 ↓ -50%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $13.14 ↓ -47%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $14.60 ↓ -41%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $14.60 ↓ -41%
MEDI-CAL MEDI-CAL $14.60 ↓ -41%
HEALTHNET MCAL HEALTHNET MCAL $14.60 ↓ -41%
BC MEDI-CAL BC MEDI-CAL $105.06 ↑ +322%
HEALTHNET MCR ADV HEALTHNET MCR ADV $203.58 ↑ +718%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $203.58 ↑ +718%
UHC MCR ADV UHC MCR ADV $203.58 ↑ +718%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $203.58 ↑ +718%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $203.58 ↑ +718%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $203.58 ↑ +718%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $203.58 ↑ +718%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $226.07 ↑ +808%
UHC HMO UHC HMO $226.07 ↑ +808%
UHC JLL CSP UHC JLL CSP $226.07 ↑ +808%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $244.30 ↑ +881%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $264.65 ↑ +963%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $293.03 ↑ +1077%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $293.03 ↑ +1077%
OSCAR - ALL PLANS OSCAR - ALL PLANS $325.73 ↑ +1208%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $350.16 ↑ +1306%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $366.44 ↑ +1372%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $458.06 ↑ +1740%
AETNA- ALL PLANS AETNA- ALL PLANS $687.04 ↑ +2659%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $1,037.08 ↑ +4065%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,152.31 ↑ +4528%
BLUE CROSS MCS BLUE CROSS MCS $1,382.79 ↑ +5453%

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Microdissection manual at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $604.80 not published
Antioch Medical Center ANTIOCH $604.80 not published
Redwood City Medical Center Redwood City $604.80 not published
Santa Clara Medical Center SANTA CLARA $604.80 not published
Baldwin Park Medical Center BALDWIN PARK $432.64 not published
Riverside Medical Center RIVERSIDE $432.64 not published
Fremont Medical Center FREMONT $604.80 not published
Panorama Medical Center PANORAMA CITY $432.64 not published

All California hospitals for this procedure →