Tbs dxa cal w/i&r fx risk 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

$24.90

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.

$166.00

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.

$37.36 with MEDI-CAL vs $346.49 with BLUE CROSS MCS — 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
MEDI-CAL MEDI-CAL $37.36 ↑ +50%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $37.36 ↑ +50%
BC MEDI-CAL BC MEDI-CAL $37.36 ↑ +50%
AETNA- ALL PLANS AETNA- ALL PLANS $40.96 ↑ +64%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $42.56 ↑ +71%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $42.56 ↑ +71%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $42.56 ↑ +71%
HEALTHNET MCR ADV HEALTHNET MCR ADV $42.56 ↑ +71%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $42.56 ↑ +71%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $42.56 ↑ +71%
OSCAR - ALL PLANS OSCAR - ALL PLANS $42.56 ↑ +71%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $42.56 ↑ +71%
UHC MCR ADV UHC MCR ADV $42.56 ↑ +71%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $42.56 ↑ +71%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $46.82 ↑ +88%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $46.82 ↑ +88%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $46.82 ↑ +88%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $52.68 ↑ +112%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $54.80 ↑ +120%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $54.80 ↑ +120%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $55.33 ↑ +122%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $55.66 ↑ +124%
UHC JLL CSP UHC JLL CSP $55.66 ↑ +124%
UHC HMO UHC HMO $55.66 ↑ +124%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $62.01 ↑ +149%
BLUE SHIELD EPN BLUE SHIELD EPN $62.18 ↑ +150%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $63.41 ↑ +155%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $63.84 ↑ +156%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $65.71 ↑ +164%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $65.71 ↑ +164%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $288.73 ↑ +1060%
BLUE CROSS MCS BLUE CROSS MCS $346.49 ↑ +1292%

Visitor-reported prices

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Tbs dxa cal w/i&r fx risk at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $127.12 $54.00 – $54.00
Antioch Medical Center ANTIOCH $127.12 $54.00 – $54.00
Redwood City Medical Center Redwood City $127.12 $54.00 – $54.00
Santa Clara Medical Center SANTA CLARA $127.12 $54.00 – $54.00
Fremont Medical Center FREMONT $127.12 $54.00 – $54.00
Sacramento Medical Center SACRAMENTO $127.12 $54.00 – $54.00
Oakland Medical Center Oakland $127.12 $54.00 – $54.00
Walnut Creek Medical Center WALNUT CREEK $127.12 $54.00 – $54.00

All California hospitals for this procedure →