Screen/visual acuity/bilat/quant 99173 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

$14.10

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.

$94.00

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.

$37.51 with KERN HEALTH SYSTEMS MCAL vs $8,731.00 with WESTERN GROWERS/PINNACLE- 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
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $37.51 ↑ +166%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $43.08 ↑ +206%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $47.00 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $47.00 ↑ +233%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $47.86 ↑ +239%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $51.70 ↑ +267%
BLUE CROSS MCS BLUE CROSS MCS $57.43 ↑ +307%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $61.10 ↑ +333%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $68.62 ↑ +387%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $70.01 ↑ +397%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $70.50 ↑ +400%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $71.91 ↑ +410%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $71.91 ↑ +410%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $75.20 ↑ +433%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $75.20 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $75.20 ↑ +433%
HERITAGE/HPN COMM HERITAGE/HPN COMM $80.09 ↑ +468%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $84.60 ↑ +500%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $84.60 ↑ +500%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $84.60 ↑ +500%
MEDI-CAL MEDI-CAL $94.00 ↑ +567%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $94.00 ↑ +567%
BC MEDI-CAL BC MEDI-CAL $210.00 ↑ +1389%
HEALTHNET MCAL HEALTHNET MCAL $239.00 ↑ +1595%
BLUE SHIELD EPN BLUE SHIELD EPN $2,103.00 ↑ +14815%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $2,336.00 ↑ +16467%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $2,336.00 ↑ +16467%
AETNA- ALL PLANS AETNA- ALL PLANS $2,897.00 ↑ +20446%
UHC HMO UHC HMO $3,967.00 ↑ +28035%
UHC JLL CSP UHC JLL CSP $4,710.00 ↑ +33304%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $4,958.00 ↑ +35063%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $8,731.00 ↑ +61822%

Visitor-reported prices

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Screen/visual acuity/bilat/quant 99173 at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $3.33 $1.30 – $4.90
Redwood Memorial Hospital Fortuna $6.12 not published
Mercy Medical Center Merced Merced $6.18 $7.20 – $11.88
Dominican Hospital Santa Cruz $39.60 $57.20 – $79.20
St. Mary Medical Center Long Beach $9.89 $5.75 – $23.00
Mercy Medical Center Redding Redding $3.05 $4.80 – $5.88
REEDLEY COMMUNITY HOSPITAL Reedley $41.23 $0.08 – $2,699.00
ST HELENA HOSPITAL Vallejo $19.65 $36.00 – $36.00

All California hospitals for this procedure →