Sirolimus, oral 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

$17.22

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.

$114.80

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.

$38.11 with BLUE SHIELD EPN vs $312.26 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 EPN BLUE SHIELD EPN $38.11 ↑ +121%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $42.36 ↑ +146%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $42.36 ↑ +146%
UHC JLL CSP UHC JLL CSP $47.39 ↑ +175%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $49.88 ↑ +190%
UHC HMO UHC HMO $49.88 ↑ +190%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $55.45 ↑ +222%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $57.40 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $57.40 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $57.40 ↑ +233%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $57.40 ↑ +233%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $58.06 ↑ +237%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $59.70 ↑ +247%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $59.70 ↑ +247%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $64.51 ↑ +275%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $68.88 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $74.62 ↑ +333%
BLUE CROSS MCS BLUE CROSS MCS $77.40 ↑ +349%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $80.36 ↑ +367%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $85.51 ↑ +397%
HERITAGE/HPN COMM HERITAGE/HPN COMM $85.53 ↑ +397%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $91.84 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $91.84 ↑ +433%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $91.84 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $97.58 ↑ +467%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $103.32 ↑ +500%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $114.80 ↑ +567%
MEDI-CAL MEDI-CAL $114.80 ↑ +567%
HEALTHNET MCAL HEALTHNET MCAL $136.73 ↑ +694%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $153.84 ↑ +793%
AETNA- ALL PLANS AETNA- ALL PLANS $312.26 ↑ +1713%

Visitor-reported prices

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Sirolimus, oral at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $51.94 $1.75 – $28.00
French Hospital San Luis Obispo $18.82 $1.75 – $47.04
St. Joseph's Medical Center Stockton Stockton $37.05 $1.75 – $22.96
Santa Rosa Memorial Hospital Santa Rosa $25.21 $2.29 – $25.10
Providence Mission Hospital - Mission Viejo Mission Viejo $93.01 $1.64 – $30.91
Mercy Medical Center Merced Merced $77.77 $1.75 – $14.00
Dominican Hospital Santa Cruz $123.30 $1.75 – $115.60
Northridge Hospital Medical Center Northridge $18.42 $1.75 – $66.00

All California hospitals for this procedure →