Observation/inpatient hospital care low severity 99234 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

$35.55

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.

$237.00

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.

$74.70 with BC MEDI-CAL vs $233.38 with BLUE CROSS NON-MCS - ALL OTHER 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 $74.70 ↑ +110%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $74.70 ↑ +110%
MEDI-CAL MEDI-CAL $74.70 ↑ +110%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $88.57 ↑ +149%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $88.57 ↑ +149%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $88.57 ↑ +149%
HEALTHNET MCR ADV HEALTHNET MCR ADV $88.57 ↑ +149%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $88.57 ↑ +149%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $88.57 ↑ +149%
OSCAR - ALL PLANS OSCAR - ALL PLANS $88.57 ↑ +149%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $88.57 ↑ +149%
UHC MCR ADV UHC MCR ADV $88.57 ↑ +149%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $88.57 ↑ +149%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $97.43 ↑ +174%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $97.43 ↑ +174%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $97.43 ↑ +174%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $105.33 ↑ +196%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $115.14 ↑ +224%
AETNA- ALL PLANS AETNA- ALL PLANS $120.75 ↑ +240%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $123.11 ↑ +246%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $129.05 ↑ +263%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $132.86 ↑ +274%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $165.83 ↑ +366%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $165.83 ↑ +366%
UHC HMO UHC HMO $174.87 ↑ +392%
UHC JLL CSP UHC JLL CSP $174.87 ↑ +392%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $174.87 ↑ +392%
BLUE SHIELD EPN BLUE SHIELD EPN $209.54 ↑ +489%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $221.44 ↑ +523%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $221.44 ↑ +523%
BLUE CROSS MCS BLUE CROSS MCS $233.38 ↑ +556%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $233.38 ↑ +556%

Visitor-reported prices

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Observation/inpatient hospital care low severity 99234 at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $45.03 $3.77 – $230.27
ST HELENA HOSPITAL Vallejo $31.50 $74.70 – $255.33
HANFORD COMMUNITY HOSPITAL Selma $45.03 $74.70 – $230.27
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $156.42 $74.70 – $221.44
WILLITS HOSPITAL INC Willits $71.10 $74.70 – $233.75
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $17.01 $74.70 – $230.27
SONORA COMMUNITY HOSPITAL Sonora $40.29 $74.70 – $233.75
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $63.99 $74.70 – $523.31

All California hospitals for this procedure →