Avul nail plate addl at Bakersfield Memorial Hospital

420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$55.79

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.

$152.00

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.

$17.09 with Care 1st vs $6,060.00 with Blue Shield CA — 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
Care 1st Medicaid|< 21 $17.09 ↓ -69%
Care 1st Medicaid|> 21 $17.09 ↓ -69%
Molina Medicaid|< 21 $17.09 ↓ -69%
Kaiser Medicaid|< 21 $17.09 ↓ -69%
Kaiser Medicaid|> 21 $17.09 ↓ -69%
Partnership Health Plan Medicaid|< 21 $17.09 ↓ -69%
Partnership Health Plan Medicaid|> 21 $17.09 ↓ -69%
LA Care Medicaid|< 21 $17.09 ↓ -69%
LA Care Medicaid|> 21 $17.09 ↓ -69%
BCBS - Anthem Medicaid|All Plans $28.20 ↓ -49%
Kern Health System Medicaid|< 21 $37.85 ↓ -32%
Kern Health System Medicaid|> 21 $37.85 ↓ -32%
Health Net Medicaid|GemCare $64.93 ↑ +16%
Western Growers Commercial|All Plans $76.00 ↑ +36%
Health Net Medicaid|Non-GemCare $87.82 ↑ +57%
CHN Sun View Commercial|All Plans $98.80 ↑ +77%
First Health Commercial|All Plans $106.40 ↑ +91%
Healthsmart Commercial|All Plans $115.52 ↑ +107%
MultiPlan Commercial|All Plans $120.08 ↑ +115%
HPN Medicare|All Plans $123.12 ↑ +121%
BCBS - Anthem Commercial|PremerTiered $123.12 ↑ +121%
HPN Commercial|All Plans $135.28 ↑ +142%
United Commercial|HMO $150.48 ↑ +170%
United Commercial|All Other Plans $152.00 ↑ +172%
United Commercial|Options PPO $152.00 ↑ +172%
United Commercial|Non-Options PPO $152.00 ↑ +172%
Blue Shield CA Commercial|Exchange $2,907.00 ↑ +5111%
BrightHealth Commercial|All Plans $3,244.80 ↑ +5716%
BCBS - Anthem Commercial|Exchange $3,562.00 ↑ +6285%
Aetna Commercial|HMO $3,842.00 ↑ +6787%
Aetna Commercial|PPO $4,056.00 ↑ +7170%
BCBS - Anthem Commercial|All Other Plans $4,142.00 ↑ +7324%
BCBS - Anthem Commercial|MCS $5,592.00 ↑ +9923%
Blue Shield CA Commercial|All Other Plans $6,060.00 ↑ +10762%

Visitor-reported prices

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Avul nail plate addl at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield not published $17.09 – $64.93
St. John's Camarillo Hospital Camarillo $87.15 $21.02 – $226.00
Petaluma Valley Hospital Petaluma $763.47 $1,687.00 – $10,997.00
Mark Twain Medical Center San Andreas $67.94 $12.42 – $47.04
Queen of The Valley Medical Center Napa $1,080.18 $2,747.00 – $8,621.00
Providence St Joseph Hospital Eureka Eureka $308.04 $2,699.00 – $21,319.00
Healdsburg Hospital Healdsburg $150.96 $2,335.00 – $3,982.87
Redwood Memorial Hospital Fortuna $280.50 $5,981.00 – $20,799.00

All California hospitals for this procedure →