Very long chain fatty acids 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

$2.41

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.

$16.05

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.

$5.33 with BLUE SHIELD EPN vs $205.61 with BLUE CROSS MCS — 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
BLUE SHIELD EPN BLUE SHIELD EPN $5.33 ↑ +121%
BC MEDI-CAL BC MEDI-CAL $5.67 ↑ +135%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $5.92 ↑ +146%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $5.92 ↑ +146%
UHC JLL CSP UHC JLL CSP $6.63 ↑ +175%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $6.97 ↑ +189%
UHC HMO UHC HMO $6.97 ↑ +189%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $7.91 ↑ +228%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $8.03 ↑ +233%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $8.03 ↑ +233%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $8.03 ↑ +233%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $8.03 ↑ +233%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $9.63 ↑ +300%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $10.43 ↑ +333%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $11.24 ↑ +366%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $11.95 ↑ +396%
HERITAGE/HPN COMM HERITAGE/HPN COMM $11.96 ↑ +396%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $12.84 ↑ +433%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $12.84 ↑ +433%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $12.84 ↑ +433%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $13.64 ↑ +466%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $14.45 ↑ +500%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $16.05 ↑ +566%
HEALTHNET MCAL HEALTHNET MCAL $16.05 ↑ +566%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $16.05 ↑ +566%
MEDI-CAL MEDI-CAL $16.05 ↑ +566%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $19.75 ↑ +720%
HERITAGE/HPN MCR ADV HERITAGE/HPN MCR ADV $19.75 ↑ +720%
UHC MCR ADV UHC MCR ADV $19.75 ↑ +720%
HEALTHNET MCR ADV HEALTHNET MCR ADV $19.75 ↑ +720%
UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS UNIVERSAL HEALTH PLAN MCARE-ALL OTHER PLANS $19.75 ↑ +720%
FHCN PACE MCR ADV - ALL PLANS FHCN PACE MCR ADV - ALL PLANS $19.75 ↑ +720%
KAISER MCR ADV IP/OP ONLY KAISER MCR ADV IP/OP ONLY $19.75 ↑ +720%
AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS AMRCN INDIAN HLTH PROJ MCR ADV - ALL PLANS $23.70 ↑ +883%
NETWORK PROVDRS LLC MCARE-ALL PLANS NETWORK PROVDRS LLC MCARE-ALL PLANS $25.68 ↑ +966%
OSCAR - ALL PLANS OSCAR - ALL PLANS $31.60 ↑ +1211%
KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS KAISER COMM HMO IP/OP ONLY-ALL OTHER PLANS $33.97 ↑ +1310%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $35.55 ↑ +1375%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $44.44 ↑ +1744%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $66.22 ↑ +2648%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $66.22 ↑ +2648%
AETNA- ALL PLANS AETNA- ALL PLANS $109.51 ↑ +4444%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $154.21 ↑ +6299%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $171.34 ↑ +7010%
BLUE CROSS MCS BLUE CROSS MCS $205.61 ↑ +8432%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Very long chain fatty acids at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $115.92 $18.00 – $18.00
Antioch Medical Center ANTIOCH $115.92 $18.00 – $18.00
Redwood City Medical Center Redwood City $115.92 $18.00 – $18.00
Santa Clara Medical Center SANTA CLARA $115.92 $18.00 – $18.00
Baldwin Park Medical Center BALDWIN PARK $139.88 $13.00 – $13.00
Riverside Medical Center RIVERSIDE $139.88 $13.00 – $13.00
Fremont Medical Center FREMONT $115.92 $18.00 – $18.00
Banner Lassen Medical Center Susanville $97.03 $3.95 – $150.35

All California hospitals for this procedure →