Pr visit complexity e&m service serious/complex condition at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$7.08
Cash price 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.
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What you pay up front if you don't use insurance.
$47.20
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$0.05 with AETNA- ALL PLANS vs $56.22 with HEALTHNET MCAL — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| AETNA- ALL PLANS | AETNA- ALL PLANS | $0.05 | ↓ -99% |
| KAISER MCR ADV IP/OP ONLY | KAISER MCR ADV IP/OP ONLY | $14.57 | ↑ +106% |
| UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | $14.57 | ↑ +106% |
| UHC MCR ADV | UHC MCR ADV | $14.57 | ↑ +106% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $14.57 | ↑ +106% |
| PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | $14.57 | ↑ +106% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $14.57 | ↑ +106% |
| OSCAR - ALL PLANS | OSCAR - ALL PLANS | $14.57 | ↑ +106% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $14.57 | ↑ +106% |
| KERN LEGACY SHARE SELECT | KERN LEGACY SHARE SELECT | $14.57 | ↑ +106% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $14.57 | ↑ +106% |
| HERITAGE/HPN MCR ADV | HERITAGE/HPN MCR ADV | $14.57 | ↑ +106% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $15.67 | ↑ +121% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $16.03 | ↑ +126% |
| KERN LEGACY HP EPO - ALL OTHER PLANS | KERN LEGACY HP EPO - ALL OTHER PLANS | $16.03 | ↑ +126% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $16.03 | ↑ +126% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $17.42 | ↑ +146% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $17.42 | ↑ +146% |
| AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | $17.48 | ↑ +147% |
| NETWORK PROVDRS LLC MCARE-ALL PLANS | NETWORK PROVDRS LLC MCARE-ALL PLANS | $18.94 | ↑ +168% |
| UHC JLL CSP | UHC JLL CSP | $19.48 | ↑ +175% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $19.50 | ↑ +175% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $19.50 | ↑ +175% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $19.74 | ↑ +179% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $20.25 | ↑ +186% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $20.51 | ↑ +190% |
| UHC HMO | UHC HMO | $20.51 | ↑ +190% |
| HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | $21.23 | ↑ +200% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $21.86 | ↑ +209% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $21.94 | ↑ +210% |
| BLUE CROSS MCS | BLUE CROSS MCS | $21.94 | ↑ +210% |
| KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | $25.06 | ↑ +254% |
| FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | $28.32 | ↑ +300% |
| PHCS IP/OP ONLY-ALL PLANS | PHCS IP/OP ONLY-ALL PLANS | $30.68 | ↑ +333% |
| INTERPLAN IP/OP ONLY-ALL PLANS | INTERPLAN IP/OP ONLY-ALL PLANS | $33.04 | ↑ +367% |
| HERITAGE/HPN COMM | HERITAGE/HPN COMM | $35.16 | ↑ +397% |
| AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | $37.76 | ↑ +433% |
| THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | $37.76 | ↑ +433% |
| INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | $37.76 | ↑ +433% |
| UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $39.00 | ↑ +451% |
| BC MEDI-CAL | BC MEDI-CAL | $39.00 | ↑ +451% |
| MEDI-CAL | MEDI-CAL | $39.00 | ↑ +451% |
| BEECH STREET IP/OP ONLY- ALL PLANS | BEECH STREET IP/OP ONLY- ALL PLANS | $40.12 | ↑ +467% |
| GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | $42.48 | ↑ +500% |
| KAISER MCAL IP/OP ONLY | KAISER MCAL IP/OP ONLY | $47.20 | ↑ +567% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $54.99 | ↑ +677% |
| HEALTHNET MCAL | HEALTHNET MCAL | $56.22 | ↑ +694% |
Visitor-reported prices
Comments
Pr visit complexity e&m service serious/complex condition at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $27.98 | $10.87 – $41.16 |
| Healdsburg Hospital | Healdsburg | $57.63 | not published |
| Redwood Memorial Hospital | Fortuna | $26.52 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $7.41 | $0.01 – $78.00 |
| ST HELENA HOSPITAL | Vallejo | $6.45 | $0.01 – $82.75 |
| HANFORD COMMUNITY HOSPITAL | Selma | $7.41 | $0.01 – $74.00 |
| ADVENTIST HEALTH DELANO | Delano | $10.20 | $14.57 – $65.79 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $25.74 | $14.50 – $56.55 |