Sodium chloride 0.9 % IV bolus 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

$27.30

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.

$182.00

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.

$0.78 with BC MEDI-CAL vs $215.17 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
BC MEDI-CAL BC MEDI-CAL $0.78 ↓ -97%
BLUE SHIELD EPN BLUE SHIELD EPN $26.26 ↓ -4%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $27.45 ↑ +1%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $29.19 ↑ +7%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $29.19 ↑ +7%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $30.50 ↑ +12%
UHC JLL CSP UHC JLL CSP $32.66 ↑ +20%
UHC HMO UHC HMO $34.37 ↑ +26%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $34.37 ↑ +26%
BLUE CROSS MCS BLUE CROSS MCS $36.60 ↑ +34%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $38.21 ↑ +40%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $39.55 ↑ +45%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $39.55 ↑ +45%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $39.55 ↑ +45%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $39.55 ↑ +45%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $41.14 ↑ +51%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $41.14 ↑ +51%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $47.46 ↑ +74%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $51.42 ↑ +88%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $55.38 ↑ +103%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $58.92 ↑ +116%
HERITAGE/HPN COMM HERITAGE/HPN COMM $58.94 ↑ +116%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $63.29 ↑ +132%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $63.29 ↑ +132%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $63.29 ↑ +132%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $67.24 ↑ +146%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $71.20 ↑ +161%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $79.11 ↑ +190%
MEDI-CAL MEDI-CAL $79.11 ↑ +190%
HEALTHNET MCAL HEALTHNET MCAL $94.22 ↑ +245%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $106.00 ↑ +288%
AETNA- ALL PLANS AETNA- ALL PLANS $215.17 ↑ +688%

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Sodium chloride 0.9 % IV bolus at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $58.25 $0.62 – $43.20
Bakersfield Memorial Hospital Bakersfield $57.62 $0.83 – $42.66
Fresno Medical Center FRESNO $20.40 $0.71 – $0.71
St. John's Camarillo Hospital Camarillo $57.38 $0.93 – $19.60
Antioch Medical Center ANTIOCH $20.40 $0.71 – $0.71
Redwood City Medical Center Redwood City $20.40 $0.71 – $0.71
Santa Clara Medical Center SANTA CLARA $20.40 $0.71 – $0.71
Baldwin Park Medical Center BALDWIN PARK $18.94 $0.71 – $0.71

All California hospitals for this procedure →