Observation per hour 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

$58.05

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.

$387.00

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.

$45.82 with BLUE SHIELD EPN vs $4,936.00 with UHC ALL PAYER - 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
BLUE SHIELD EPN BLUE SHIELD EPN $45.82 ↓ -21%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $50.92 ↓ -12%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $50.92 ↓ -12%
BC MEDI-CAL BC MEDI-CAL $56.00 ↓ -4%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $63.25 ↑ +9%
AETNA- ALL PLANS AETNA- ALL PLANS $66.93 ↑ +15%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $69.00 ↑ +19%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $69.00 ↑ +19%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $69.00 ↑ +19%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $69.00 ↑ +19%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $70.27 ↑ +21%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $78.94 ↑ +36%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $78.94 ↑ +36%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $82.80 ↑ +43%
BLUE CROSS MCS BLUE CROSS MCS $84.32 ↑ +45%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $89.70 ↑ +55%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $96.60 ↑ +66%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $97.98 ↑ +69%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $102.78 ↑ +77%
HERITAGE/HPN COMM HERITAGE/HPN COMM $106.26 ↑ +83%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $110.40 ↑ +90%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $110.40 ↑ +90%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $110.40 ↑ +90%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $117.30 ↑ +102%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $124.20 ↑ +114%
MEDI-CAL MEDI-CAL $138.00 ↑ +138%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $138.00 ↑ +138%
HEALTHNET MCAL HEALTHNET MCAL $164.36 ↑ +183%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $278.96 ↑ +381%
UHC HMO UHC HMO $3,828.00 ↑ +6494%
UHC JLL CSP UHC JLL CSP $4,689.00 ↑ +7978%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $4,936.00 ↑ +8403%

Visitor-reported prices

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Observation per hour at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $129.48 $59.50 – $1,374.00
Bakersfield Memorial Hospital Bakersfield $144.24 $25.00 – $1,298.00
Fresno Medical Center FRESNO $255.36 not published
St. John's Camarillo Hospital Camarillo $328.07 $34.56 – $3,227.50
Antioch Medical Center ANTIOCH $255.36 not published
Redwood City Medical Center Redwood City $255.36 not published
Santa Clara Medical Center SANTA CLARA $255.36 not published
Baldwin Park Medical Center BALDWIN PARK $166.40 not published

All California hospitals for this procedure →