Sterile water/saline, 500 ml at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$21.17
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.
$141.15
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.
$3.80 with KAISER MCR ADV IP/OP ONLY vs $89.54 with GALAXY HEALTH NETWORK IP/OP ONLY- 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 →
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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 |
|---|---|---|---|
| KAISER MCR ADV IP/OP ONLY | KAISER MCR ADV IP/OP ONLY | $3.80 | ↓ -82% |
| HERITAGE/HPN MCR ADV | HERITAGE/HPN MCR ADV | $3.80 | ↓ -82% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $3.80 | ↓ -82% |
| UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | $3.80 | ↓ -82% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $3.80 | ↓ -82% |
| UHC MCR ADV | UHC MCR ADV | $3.80 | ↓ -82% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $3.80 | ↓ -82% |
| AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | $4.56 | ↓ -78% |
| NETWORK PROVDRS LLC MCARE-ALL PLANS | NETWORK PROVDRS LLC MCARE-ALL PLANS | $4.94 | ↓ -77% |
| OSCAR - ALL PLANS | OSCAR - ALL PLANS | $6.08 | ↓ -71% |
| KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | $6.54 | ↓ -69% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $6.84 | ↓ -68% |
| BC MEDI-CAL | BC MEDI-CAL | $6.98 | ↓ -67% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $8.55 | ↓ -60% |
| MEDI-CAL | MEDI-CAL | $8.61 | ↓ -59% |
| KAISER MCAL IP/OP ONLY | KAISER MCAL IP/OP ONLY | $8.61 | ↓ -59% |
| HEALTHNET MCAL | HEALTHNET MCAL | $10.25 | ↓ -52% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $11.53 | ↓ -46% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $33.03 | ↑ +56% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $36.71 | ↑ +73% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $36.71 | ↑ +73% |
| UHC JLL CSP | UHC JLL CSP | $41.07 | ↑ +94% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $41.61 | ↑ +97% |
| UHC HMO | UHC HMO | $43.23 | ↑ +104% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $43.23 | ↑ +104% |
| BLUE CROSS MCS | BLUE CROSS MCS | $46.24 | ↑ +118% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $46.24 | ↑ +118% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $48.05 | ↑ +127% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $49.24 | ↑ +133% |
| KERN LEGACY HP EPO - ALL OTHER PLANS | KERN LEGACY HP EPO - ALL OTHER PLANS | $49.74 | ↑ +135% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $49.74 | ↑ +135% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $49.74 | ↑ +135% |
| KERN LEGACY SHARE SELECT | KERN LEGACY SHARE SELECT | $49.74 | ↑ +135% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $51.73 | ↑ +144% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $51.73 | ↑ +144% |
| FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | $59.69 | ↑ +182% |
| PHCS IP/OP ONLY-ALL PLANS | PHCS IP/OP ONLY-ALL PLANS | $64.67 | ↑ +205% |
| INTERPLAN IP/OP ONLY-ALL PLANS | INTERPLAN IP/OP ONLY-ALL PLANS | $69.64 | ↑ +229% |
| HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | $74.10 | ↑ +250% |
| HERITAGE/HPN COMM | HERITAGE/HPN COMM | $74.12 | ↑ +250% |
| THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | $79.59 | ↑ +276% |
| AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | $79.59 | ↑ +276% |
| INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | $79.59 | ↑ +276% |
| BEECH STREET IP/OP ONLY- ALL PLANS | BEECH STREET IP/OP ONLY- ALL PLANS | $84.56 | ↑ +299% |
| GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | $89.54 | ↑ +323% |
Visitor-reported prices
Comments
Sterile water/saline, 500 ml at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baldwin Park Medical Center | BALDWIN PARK | $45.03 | not published |
| Riverside Medical Center | RIVERSIDE | $45.03 | not published |
| Panorama Medical Center | PANORAMA CITY | $45.03 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO | $45.03 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES | $45.03 | not published |
| San Marcos Medical Center | SAN MARCOS | $45.03 | not published |
| West Los Angeles Medical Center | LOS ANGELES | $45.03 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS | $45.03 | not published |