Surgical pathology level 5 gross & microscopic examination at SAN JOAQUIN COMMUNITY HOSPITAL
3001 Sillect Avenue Bakersfield CA 93308|3001 Sillect Avenue, Bakersfield, CA · Adventisthealth · · NPI 1538157508
$69.45
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.
$463.00
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.
$62.11 with BLUE SHIELD EPN vs $1,037.30 with CENTIVO - 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 |
|---|---|---|---|
| BLUE SHIELD EPN | BLUE SHIELD EPN | $62.11 | ↓ -11% |
| BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $69.03 | ↓ -1% |
| BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $69.03 | ↓ -1% |
| WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $92.23 | ↑ +33% |
| KERN LEGACY HP EPO - ALL OTHER PLANS | KERN LEGACY HP EPO - ALL OTHER PLANS | $93.54 | ↑ +35% |
| COUNTY OF KERN - ALL PLANS | COUNTY OF KERN - ALL PLANS | $93.54 | ↑ +35% |
| GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $93.54 | ↑ +35% |
| KERN LEGACY SHARE SELECT | KERN LEGACY SHARE SELECT | $93.54 | ↑ +35% |
| FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS | $112.25 | ↑ +62% |
| BC MEDI-CAL | BC MEDI-CAL | $117.06 | ↑ +69% |
| PHCS IP/OP ONLY-ALL PLANS | PHCS IP/OP ONLY-ALL PLANS | $121.60 | ↑ +75% |
| MEDI-CAL | MEDI-CAL | $125.71 | ↑ +81% |
| KAISER MCAL IP/OP ONLY | KAISER MCAL IP/OP ONLY | $125.71 | ↑ +81% |
| INTERPLAN IP/OP ONLY-ALL PLANS | INTERPLAN IP/OP ONLY-ALL PLANS | $130.96 | ↑ +89% |
| HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS | $139.34 | ↑ +101% |
| HERITAGE/HPN COMM | HERITAGE/HPN COMM | $139.37 | ↑ +101% |
| THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS | $149.66 | ↑ +115% |
| AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS | $149.66 | ↑ +115% |
| INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS | $149.66 | ↑ +115% |
| HEALTHNET MCAL | HEALTHNET MCAL | $149.72 | ↑ +116% |
| BEECH STREET IP/OP ONLY- ALL PLANS | BEECH STREET IP/OP ONLY- ALL PLANS | $159.02 | ↑ +129% |
| GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS | $168.37 | ↑ +142% |
| KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $168.45 | ↑ +143% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $171.93 | ↑ +148% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $191.04 | ↑ +175% |
| BLUE CROSS MCS | BLUE CROSS MCS | $229.25 | ↑ +230% |
| UHC JLL CSP | UHC JLL CSP | $408.11 | ↑ +488% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $408.11 | ↑ +488% |
| UHC HMO | UHC HMO | $408.11 | ↑ +488% |
| KAISER MCR ADV IP/OP ONLY | KAISER MCR ADV IP/OP ONLY | $461.02 | ↑ +564% |
| UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS | $461.02 | ↑ +564% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $461.02 | ↑ +564% |
| FHCN PACE MCR ADV - ALL PLANS | FHCN PACE MCR ADV - ALL PLANS | $461.02 | ↑ +564% |
| HERITAGE/HPN MCR ADV | HERITAGE/HPN MCR ADV | $461.02 | ↑ +564% |
| UHC MCR ADV | UHC MCR ADV | $461.02 | ↑ +564% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $461.02 | ↑ +564% |
| CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $541.09 | ↑ +679% |
| CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $541.09 | ↑ +679% |
| AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS | $553.23 | ↑ +697% |
| NETWORK PROVDRS LLC MCARE-ALL PLANS | NETWORK PROVDRS LLC MCARE-ALL PLANS | $599.33 | ↑ +763% |
| OSCAR - ALL PLANS | OSCAR - ALL PLANS | $737.64 | ↑ +962% |
| AETNA- ALL PLANS | AETNA- ALL PLANS | $770.99 | ↑ +1010% |
| KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS | $792.96 | ↑ +1042% |
| EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $829.84 | ↑ +1095% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $1,037.30 | ↑ +1394% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $191.44 | $123.13 – $598.65 |
| Bakersfield Memorial Hospital | Bakersfield | $189.38 | $123.13 – $598.65 |
| Fresno Medical Center | FRESNO | $789.60 | $383.00 – $383.00 |
| St. John's Camarillo Hospital | Camarillo | $222.51 | $137.16 – $813.52 |
| Antioch Medical Center | ANTIOCH | $789.60 | $383.00 – $383.00 |
| Redwood City Medical Center | Redwood City | $789.60 | $383.00 – $383.00 |
| Santa Clara Medical Center | SANTA CLARA | $789.60 | $383.00 – $383.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $748.80 | $403.00 – $403.00 |