Thorax spine fusion 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

$655.05

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.

$4,367.00

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.

$594.00 with MEDI-CAL vs $22,551.40 with UNIVERSAL HEALTH PLAN MCARE-ALL OTHER 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
MEDI-CAL MEDI-CAL $594.00 ↓ -9%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $594.00 ↓ -9%
BC MEDI-CAL BC MEDI-CAL $594.00 ↓ -9%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $594.00 ↓ -9%
AETNA- ALL PLANS AETNA- ALL PLANS $1,138.59 ↑ +74%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $1,238.72 ↑ +89%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $1,238.72 ↑ +89%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $1,238.72 ↑ +89%
HEALTHNET MCR ADV HEALTHNET MCR ADV $1,238.72 ↑ +89%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $1,238.72 ↑ +89%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $1,238.72 ↑ +89%
OSCAR - ALL PLANS OSCAR - ALL PLANS $1,238.72 ↑ +89%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $1,238.72 ↑ +89%
UHC MCR ADV UHC MCR ADV $1,238.72 ↑ +89%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $1,362.59 ↑ +108%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $1,362.59 ↑ +108%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $1,362.59 ↑ +108%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $1,561.98 ↑ +138%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $1,561.98 ↑ +138%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $1,610.34 ↑ +146%
UHC HMO UHC HMO $1,700.38 ↑ +160%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,700.38 ↑ +160%
UHC JLL CSP UHC JLL CSP $1,700.38 ↑ +160%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $1,721.82 ↑ +163%
BLUE SHIELD EPN BLUE SHIELD EPN $1,753.73 ↑ +168%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $1,804.82 ↑ +176%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $1,853.31 ↑ +183%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $1,853.31 ↑ +183%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $1,858.08 ↑ +184%
BLUE CROSS MCS BLUE CROSS MCS $2,451.04 ↑ +274%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $2,451.04 ↑ +274%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $22,551.40 ↑ +3343%

Visitor-reported prices

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Thorax spine fusion at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $1,353.76 – $3,262.56
Bakersfield Memorial Hospital Bakersfield not published $1,353.76 – $3,262.56
REEDLEY COMMUNITY HOSPITAL Reedley $829.73 $36.66 – $2,406.12
HANFORD COMMUNITY HOSPITAL Selma $829.73 $75.00 – $22,551.40
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $2,882.22 $188.76 – $1,853.31
WILLITS HOSPITAL INC Willits $1,310.10 $594.00 – $2,497.28
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi $305.69 $105.00 – $2,406.12
SONORA COMMUNITY HOSPITAL Sonora $742.39 $594.00 – $2,497.28

All California hospitals for this procedure →