Repair of diaphragm hernia at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$429.75
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.
$2,865.00
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.
$736.98 with BC MEDI-CAL vs $1,821.30 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 →
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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 |
|---|---|---|---|
| BC MEDI-CAL | BC MEDI-CAL | $736.98 | ↑ +71% |
| UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $736.98 | ↑ +71% |
| MEDI-CAL | MEDI-CAL | $736.98 | ↑ +71% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $801.61 | ↑ +87% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $801.61 | ↑ +87% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $801.61 | ↑ +87% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $801.61 | ↑ +87% |
| HERITAGE/HPN MCR ADV | HERITAGE/HPN MCR ADV | $801.61 | ↑ +87% |
| KERN LEGACY SHARE SELECT | KERN LEGACY SHARE SELECT | $801.61 | ↑ +87% |
| OSCAR - ALL PLANS | OSCAR - ALL PLANS | $801.61 | ↑ +87% |
| PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS | $801.61 | ↑ +87% |
| UHC MCR ADV | UHC MCR ADV | $801.61 | ↑ +87% |
| UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | $801.61 | ↑ +87% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $802.51 | ↑ +87% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $881.77 | ↑ +105% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $881.77 | ↑ +105% |
| KERN LEGACY HP EPO - ALL OTHER PLANS | KERN LEGACY HP EPO - ALL OTHER PLANS | $881.77 | ↑ +105% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $1,039.14 | ↑ +142% |
| NETWORK PROVDRS LLC MCARE-ALL PLANS | NETWORK PROVDRS LLC MCARE-ALL PLANS | $1,042.09 | ↑ +142% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $1,077.41 | ↑ +151% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $1,077.41 | ↑ +151% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $1,114.24 | ↑ +159% |
| HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | $1,167.95 | ↑ +172% |
| UHC HMO | UHC HMO | $1,173.95 | ↑ +173% |
| UHC JLL CSP | UHC JLL CSP | $1,173.95 | ↑ +173% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,173.95 | ↑ +173% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $1,202.42 | ↑ +180% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $1,215.81 | ↑ +183% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $1,284.85 | ↑ +199% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $1,284.85 | ↑ +199% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $1,821.30 | ↑ +324% |
| BLUE CROSS MCS | BLUE CROSS MCS | $1,821.30 | ↑ +324% |
Visitor-reported prices
Comments
Repair of diaphragm hernia at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $1,057.12 – $2,547.66 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $1,057.12 – $2,547.66 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $544.35 | $25.31 – $1,821.38 |
| HANFORD COMMUNITY HOSPITAL | Selma | $544.35 | $25.00 – $1,821.38 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $1,890.90 | $55.00 – $1,284.85 |
| WILLITS HOSPITAL INC | Willits | $859.50 | $736.98 – $1,870.16 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $200.55 | $25.00 – $1,821.38 |
| SONORA COMMUNITY HOSPITAL | Sonora | $487.05 | $55.00 – $1,870.16 |