Thoracic lymphadenect/thoracotomy 38746 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

$102.30

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.

$682.00

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.

$45.00 with MEDI-CAL vs $582.73 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 $45.00 ↓ -56%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $45.00 ↓ -56%
BC MEDI-CAL BC MEDI-CAL $45.00 ↓ -56%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $63.45 ↓ -38%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $187.22 ↑ +83%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $187.22 ↑ +83%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $187.22 ↑ +83%
HEALTHNET MCR ADV HEALTHNET MCR ADV $187.22 ↑ +83%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $187.22 ↑ +83%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $187.22 ↑ +83%
OSCAR - ALL PLANS OSCAR - ALL PLANS $187.22 ↑ +83%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $187.22 ↑ +83%
UHC MCR ADV UHC MCR ADV $187.22 ↑ +83%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $187.22 ↑ +83%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $205.94 ↑ +101%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $205.94 ↑ +101%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $205.94 ↑ +101%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $243.39 ↑ +138%
AETNA- ALL PLANS AETNA- ALL PLANS $246.43 ↑ +141%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $260.24 ↑ +154%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $261.37 ↑ +155%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $261.37 ↑ +155%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $272.78 ↑ +167%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $280.83 ↑ +175%
UHC JLL CSP UHC JLL CSP $288.50 ↑ +182%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $288.50 ↑ +182%
UHC HMO UHC HMO $288.50 ↑ +182%
BLUE SHIELD EPN BLUE SHIELD EPN $405.43 ↑ +296%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $428.45 ↑ +319%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $428.45 ↑ +319%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $582.73 ↑ +470%
BLUE CROSS MCS BLUE CROSS MCS $582.73 ↑ +470%

Visitor-reported prices

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Thoracic lymphadenect/thoracotomy 38746 at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $216.61 – $822.87
Bakersfield Memorial Hospital Bakersfield not published $216.61 – $822.87
REEDLEY COMMUNITY HOSPITAL Reedley $129.58 $6.22 – $582.75
HANFORD COMMUNITY HOSPITAL Selma $129.58 $109.00 – $582.75
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $450.12 $70.00 – $428.45
WILLITS HOSPITAL INC Willits $204.60 $37.97 – $598.36
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $47.74 $109.00 – $582.75
SONORA COMMUNITY HOSPITAL Sonora $115.94 $75.00 – $598.36

All California hospitals for this procedure →