Tomosynthesis breast screen bilateral 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

$44.10

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.

$294.00

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.

$16.60 with BLUE SHIELD EPN vs $261.54 with BLUE CROSS EXCHANGE — 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
BLUE SHIELD EPN BLUE SHIELD EPN $16.60 ↓ -62%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $18.45 ↓ -58%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $18.45 ↓ -58%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $24.65 ↓ -44%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $25.00 ↓ -43%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $25.00 ↓ -43%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $25.00 ↓ -43%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $25.00 ↓ -43%
HEALTHNET MCR ADV HEALTHNET MCR ADV $28.38 ↓ -36%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $28.38 ↓ -36%
PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS PREMIER PHYSICIAN ALLIANCE PROFEE ONLY-ALL PLANS $28.38 ↓ -36%
UHC MCR ADV UHC MCR ADV $28.38 ↓ -36%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $28.38 ↓ -36%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $28.38 ↓ -36%
OSCAR - ALL PLANS OSCAR - ALL PLANS $28.38 ↓ -36%
AETNA- ALL PLANS AETNA- ALL PLANS $29.20 ↓ -34%
BC MEDI-CAL BC MEDI-CAL $29.32 ↓ -34%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $30.00 ↓ -32%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $31.22 ↓ -29%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $32.50 ↓ -26%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $35.00 ↓ -21%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $36.89 ↓ -16%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $37.24 ↓ -16%
HERITAGE/HPN COMM HERITAGE/HPN COMM $37.25 ↓ -16%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $37.71 ↓ -14%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $37.71 ↓ -14%
UHC JLL CSP UHC JLL CSP $39.43 ↓ -11%
UHC HMO UHC HMO $39.43 ↓ -11%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $39.43 ↓ -11%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $40.00 ↓ -9%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $40.00 ↓ -9%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $40.00 ↓ -9%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $42.50 ↓ -4%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $42.57 ↓ -3%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $45.00 ↑ +2%
MEDI-CAL MEDI-CAL $47.52 ↑ +8%
UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $47.52 ↑ +8%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $50.00 ↑ +13%
HEALTHNET MCAL HEALTHNET MCAL $50.00 ↑ +13%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $50.00 ↑ +13%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $54.00 ↑ +22%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $54.00 ↑ +22%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $64.80 ↑ +47%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $84.79 ↑ +92%
BLUE CROSS MCS BLUE CROSS MCS $84.79 ↑ +92%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $92.88 ↑ +111%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $261.54 ↑ +493%

Visitor-reported prices

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Tomosynthesis breast screen bilateral at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $113.16 $47.52 – $223.20
Bakersfield Memorial Hospital Bakersfield $111.94 $47.52 – $220.41
Fresno Medical Center FRESNO $115.36 $35.00 – $35.00
Antioch Medical Center ANTIOCH $115.36 $35.00 – $35.00
Redwood City Medical Center Redwood City $115.36 $35.00 – $35.00
Santa Clara Medical Center SANTA CLARA $115.36 $35.00 – $35.00
Baldwin Park Medical Center BALDWIN PARK $89.44 $20.00 – $20.00
Riverside Medical Center RIVERSIDE $89.44 $20.00 – $20.00

All California hospitals for this procedure →