Vaccine tdap >=7 years im 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

$42.12

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.

Full explanation →

What you pay up front if you don't use insurance.

$280.83

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$49.76 with BC MEDI-CAL vs $362.25 with KERN HEALTH SYSTEMS MCAL — same scan, same building. Share

Negotiated rates by payer
?

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
BC MEDI-CAL BC MEDI-CAL $49.76 ↑ +18%
BLUE SHIELD EPN BLUE SHIELD EPN $89.75 ↑ +113%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $99.75 ↑ +137%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $99.75 ↑ +137%
UHC JLL CSP UHC JLL CSP $111.59 ↑ +165%
UHC HMO UHC HMO $117.46 ↑ +179%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $117.46 ↑ +179%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $130.57 ↑ +210%
AETNA- ALL PLANS AETNA- ALL PLANS $133.82 ↑ +218%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $135.17 ↑ +221%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $135.17 ↑ +221%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $135.17 ↑ +221%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $135.17 ↑ +221%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $136.06 ↑ +223%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $140.57 ↑ +234%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $140.57 ↑ +234%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $151.18 ↑ +259%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $162.20 ↑ +285%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $175.72 ↑ +317%
BLUE CROSS MCS BLUE CROSS MCS $181.39 ↑ +331%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $189.23 ↑ +349%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $201.35 ↑ +378%
HERITAGE/HPN COMM HERITAGE/HPN COMM $201.40 ↑ +378%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $216.27 ↑ +413%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $216.27 ↑ +413%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $216.27 ↑ +413%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $229.78 ↑ +446%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $243.30 ↑ +478%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $270.34 ↑ +542%
MEDI-CAL MEDI-CAL $270.34 ↑ +542%
HEALTHNET MCAL HEALTHNET MCAL $321.97 ↑ +664%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $362.25 ↑ +760%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Vaccine tdap >=7 years im at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $79.03 $29.33 – $135.20
Bakersfield Memorial Hospital Bakersfield $78.18 $56.88 – $133.51
Fresno Medical Center FRESNO $59.92 not published
St. John's Camarillo Hospital Camarillo $70.08 $43.20 – $124.80
Antioch Medical Center ANTIOCH $59.92 not published
Redwood City Medical Center Redwood City $59.92 not published
Santa Clara Medical Center SANTA CLARA $59.92 not published
Baldwin Park Medical Center BALDWIN PARK $47.84 not published

All California hospitals for this procedure →