Neostigmine methylsulfate 1 mg/ml 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

$8.68

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.

$57.86

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.

$1.21 with BC MEDI-CAL vs $130.56 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
BC MEDI-CAL BC MEDI-CAL $1.21 ↓ -86%
BLUE SHIELD EPN BLUE SHIELD EPN $15.94 ↑ +84%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $17.71 ↑ +104%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $17.71 ↑ +104%
UHC JLL CSP UHC JLL CSP $19.81 ↑ +128%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $20.86 ↑ +140%
UHC HMO UHC HMO $20.86 ↑ +140%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $23.18 ↑ +167%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $24.00 ↑ +176%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $24.00 ↑ +176%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $24.00 ↑ +176%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $24.00 ↑ +176%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $24.96 ↑ +188%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $24.96 ↑ +188%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $28.80 ↑ +232%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $31.20 ↑ +259%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $33.60 ↑ +287%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $34.53 ↑ +298%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $35.75 ↑ +312%
HERITAGE/HPN COMM HERITAGE/HPN COMM $35.76 ↑ +312%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $38.37 ↑ +342%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $38.40 ↑ +342%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $38.40 ↑ +342%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $38.40 ↑ +342%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $40.80 ↑ +370%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $43.20 ↑ +398%
BLUE CROSS MCS BLUE CROSS MCS $46.03 ↑ +430%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $48.00 ↑ +453%
MEDI-CAL MEDI-CAL $48.00 ↑ +453%
HEALTHNET MCAL HEALTHNET MCAL $57.17 ↑ +559%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $64.32 ↑ +641%
AETNA- ALL PLANS AETNA- ALL PLANS $130.56 ↑ +1404%

Visitor-reported prices

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Neostigmine methylsulfate 1 mg/ml injection (wrapper) at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $77.54 $0.40 – $1.16
Bakersfield Memorial Hospital Bakersfield $8.81 $0.40 – $1.00
Fresno Medical Center FRESNO $66.77 $0.42 – $0.42
St. John's Camarillo Hospital Camarillo $29.35 $0.90 – $52.26
Antioch Medical Center ANTIOCH $66.77 $0.42 – $0.42
Redwood City Medical Center Redwood City $66.77 $0.42 – $0.42
Santa Clara Medical Center SANTA CLARA $66.77 $0.42 – $0.42
Baldwin Park Medical Center BALDWIN PARK $62.00 $0.38 – $0.38

All California hospitals for this procedure →