Zoledronic acid 4 mg/5 ml intravenous solution 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

$277.66

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.

$1,851.06

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.

$23.43 with BC MEDI-CAL vs $1,416.61 with AETNA- ALL 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
BC MEDI-CAL BC MEDI-CAL $23.43 ↓ -92%
BLUE SHIELD EPN BLUE SHIELD EPN $172.91 ↓ -38%
BLUE SHIELD HMO/POS - ALL OTHER PLANS BLUE SHIELD HMO/POS - ALL OTHER PLANS $192.18 ↓ -31%
BLUE SHIELD EPO/PPO BLUE SHIELD EPO/PPO $192.18 ↓ -31%
UHC JLL CSP UHC JLL CSP $214.99 ↓ -23%
UHC HMO UHC HMO $226.29 ↓ -19%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $226.29 ↓ -19%
WESTERN GROWERS/PINNACLE- ALL PLANS WESTERN GROWERS/PINNACLE- ALL PLANS $251.55 ↓ -9%
KERN LEGACY HP EPO - ALL OTHER PLANS KERN LEGACY HP EPO - ALL OTHER PLANS $260.41 ↓ -6%
COUNTY OF KERN - ALL PLANS COUNTY OF KERN - ALL PLANS $260.41 ↓ -6%
GEM CARE- ALL PLANS GEM CARE- ALL PLANS $260.41 ↓ -6%
KERN LEGACY SHARE SELECT KERN LEGACY SHARE SELECT $260.41 ↓ -6%
CIGNA HMO/OPEN ACCESS CIGNA HMO/OPEN ACCESS $270.82 ↓ -2%
CIGNA- ALL OTHER PLANS CIGNA- ALL OTHER PLANS $270.82 ↓ -2%
FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS FIRST HEALTH/COVENTRY IP/OP ONLY- ALL PLANS $312.49 ↑ +13%
PHCS IP/OP ONLY-ALL PLANS PHCS IP/OP ONLY-ALL PLANS $338.53 ↑ +22%
INTERPLAN IP/OP ONLY-ALL PLANS INTERPLAN IP/OP ONLY-ALL PLANS $364.57 ↑ +31%
HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS HEALTHNET HMO/POS/PPO/EPO - ALL OTHER PLANS $387.90 ↑ +40%
HERITAGE/HPN COMM HERITAGE/HPN COMM $388.00 ↑ +40%
AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS AFFILIATED HEALTH FUNDS IP/OP ONLY-ALL PLANS $416.65 ↑ +50%
INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS INTEGRATED HEALTH PLAN IP/OP ONLY-ALL PLANS $416.65 ↑ +50%
THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS THREE RIVERS PROVIDER NETWORK IP/OP ONLY-ALL PLANS $416.65 ↑ +50%
BEECH STREET IP/OP ONLY- ALL PLANS BEECH STREET IP/OP ONLY- ALL PLANS $442.69 ↑ +59%
GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS GALAXY HEALTH NETWORK IP/OP ONLY- ALL PLANS $468.73 ↑ +69%
KAISER MCAL IP/OP ONLY KAISER MCAL IP/OP ONLY $520.81 ↑ +88%
MEDI-CAL MEDI-CAL $520.81 ↑ +88%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $565.98 ↑ +104%
KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $606.30 ↑ +118%
HEALTHNET MCAL HEALTHNET MCAL $620.29 ↑ +123%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $628.86 ↑ +126%
BLUE CROSS MCS BLUE CROSS MCS $754.53 ↑ +172%
AETNA- ALL PLANS AETNA- ALL PLANS $1,416.61 ↑ +410%

Visitor-reported prices

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Zoledronic acid 4 mg/5 ml intravenous solution at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $2,290.03 $5.20 – $5.20
St. John's Camarillo Hospital Camarillo $1,314.00 $9.24 – $900.00
Antioch Medical Center ANTIOCH $2,290.03 $5.20 – $5.20
Redwood City Medical Center Redwood City $2,290.03 $5.20 – $5.20
Santa Clara Medical Center SANTA CLARA $2,290.03 $5.20 – $5.20
Baldwin Park Medical Center BALDWIN PARK $2,126.46 $5.20 – $5.20
Riverside Medical Center RIVERSIDE $2,126.46 $5.20 – $5.20
Fremont Medical Center FREMONT $2,290.03 $5.20 – $5.20

All California hospitals for this procedure →