Romiplostim 125 mcg subcutaneous solution 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

$5,004.97

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.

$33,366.46

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.

$11.62 with BLUE SHIELD MCR ADV vs $19,571.27 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
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $11.62 ↓ -100%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $11.62 ↓ -100%
UHC MCR ADV UHC MCR ADV $11.62 ↓ -100%
HEALTHNET MCR ADV HEALTHNET MCR ADV $11.62 ↓ -100%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $11.62 ↓ -100%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $11.62 ↓ -100%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $11.62 ↓ -100%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $13.94 ↓ -100%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $15.10 ↓ -100%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $15.51 ↓ -100%
MEDI-CAL MEDI-CAL $15.51 ↓ -100%
HEALTHNET MCAL HEALTHNET MCAL $18.47 ↓ -100%
OSCAR - ALL PLANS OSCAR - ALL PLANS $18.59 ↓ -100%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $19.98 ↓ -100%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $20.91 ↓ -100%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $26.14 ↓ -99%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $34.74 ↓ -99%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $38.60 ↓ -99%
BLUE CROSS MCS BLUE CROSS MCS $46.32 ↓ -99%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $2,158.60 ↓ -57%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $2,158.60 ↓ -57%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $2,158.60 ↓ -57%
BLUE SHIELD EPN BLUE SHIELD EPN $2,388.85 ↓ -52%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $2,655.07 ↓ -47%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $2,655.07 ↓ -47%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $2,950.08 ↓ -41%
UHC JLL CSP UHC JLL CSP $2,970.23 ↓ -41%
UHC HMO UHC HMO $3,126.37 ↓ -38%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $3,126.37 ↓ -38%
HERITAGE/HPN COMM HERITAGE/HPN COMM $3,403.39 ↓ -32%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $3,475.34 ↓ -31%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $3,597.66 ↓ -28%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $3,741.57 ↓ -25%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $3,741.57 ↓ -25%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $4,317.19 ↓ -14%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $4,676.96 ↓ -7%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $5,036.72 ↑ +1%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $5,359.07 ↑ +7%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $5,756.25 ↑ +15%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $5,756.25 ↑ +15%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $5,756.25 ↑ +15%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $6,116.02 ↑ +22%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $6,475.79 ↑ +29%
BC MEDI-CAL BC MEDI-CAL $8,341.62 ↑ +67%
AETNA- ALL PLANS AETNA- ALL PLANS $19,571.27 ↑ +291%

Visitor-reported prices

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Romiplostim 125 mcg subcutaneous solution at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $4,437.54 $100.00 – $9,568.80
Bakersfield Memorial Hospital Bakersfield $8,779.01 $100.00 – $5,921.19
Fresno Medical Center FRESNO $9,622.92 $11.00 – $11.00
St. John's Camarillo Hospital Camarillo $5,791.68 $5.22 – $991.80
Antioch Medical Center ANTIOCH $9,622.92 $11.00 – $11.00
Redwood City Medical Center Redwood City $9,622.92 $11.00 – $11.00
Santa Clara Medical Center SANTA CLARA $9,622.92 $11.00 – $11.00
Baldwin Park Medical Center BALDWIN PARK $8,935.57 $11.00 – $11.00

All California hospitals for this procedure →