Biopsy lower leg soft tissue at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$1,695.18
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.
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What you pay up front if you don't use insurance.
$4,619.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$152.94 with Molina vs $7,572.00 with Health Net — 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 →
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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 ?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 |
|---|---|---|---|
| Molina | Medicaid|< 21 | $152.94 | ↓ -91% |
| Kaiser | Medicaid|< 21 | $152.94 | ↓ -91% |
| LA Care | Medicaid|< 21 | $152.94 | ↓ -91% |
| Kaiser | Medicaid|> 21 | $152.94 | ↓ -91% |
| Care 1st | Medicaid|< 21 | $152.94 | ↓ -91% |
| LA Care | Medicaid|> 21 | $152.94 | ↓ -91% |
| Care 1st | Medicaid|> 21 | $152.94 | ↓ -91% |
| Partnership Health Plan | Medicaid|< 21 | $152.94 | ↓ -91% |
| Partnership Health Plan | Medicaid|> 21 | $152.94 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $252.36 | ↓ -85% |
| Kern Health System | Medicaid|< 21 | $338.73 | ↓ -80% |
| Kern Health System | Medicaid|> 21 | $338.73 | ↓ -80% |
| Health Net | Medicaid|GemCare | $581.03 | ↓ -66% |
| Health Net | Medicaid|Non-GemCare | $785.95 | ↓ -54% |
| BCBS - Anthem | Medicare|All Other Plans | $2,058.68 | ↑ +21% |
| Humana | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Aetna | Medicare|All Plans | $2,058.68 | ↑ +21% |
| United | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Health Net | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Scan Health Plan | Medicare|All Plans | $2,058.68 | ↑ +21% |
| BrightHealth | Commercial|All Plans | $2,058.68 | ↑ +21% |
| HPN | Medicare|All Plans | $2,058.68 | ↑ +21% |
| HPN | Commercial|All Plans | $2,264.55 | ↑ +34% |
| BCBS - Anthem | Medicare|Burn | $2,264.55 | ↑ +34% |
| Western Growers | Commercial|All Plans | $2,540.45 | ↑ +50% |
| Kaiser | Commercial|All Plans | $2,799.80 | ↑ +65% |
| Blue Shield CA | Commercial|Exchange | $2,907.00 | ↑ +71% |
| CHN Sun View | Commercial|All Plans | $3,002.35 | ↑ +77% |
| First Health | Commercial|All Plans | $3,233.30 | ↑ +91% |
| Healthsmart | Commercial|All Plans | $3,510.44 | ↑ +107% |
| BCBS - Anthem | Commercial|Exchange | $3,562.00 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $3,649.01 | ↑ +115% |
| BCBS - Anthem | Commercial|PremerTiered | $3,741.39 | ↑ +121% |
| Aetna | Commercial|HMO | $3,842.00 | ↑ +127% |
| Aetna | Commercial|PPO | $4,056.00 | ↑ +139% |
| BCBS - Anthem | Commercial|All Other Plans | $4,142.00 | ↑ +144% |
| United | Commercial|HMO | $4,572.81 | ↑ +170% |
| United | Commercial|Non-Options PPO | $4,619.00 | ↑ +172% |
| United | Commercial|Options PPO | $4,619.00 | ↑ +172% |
| United | Commercial|All Other Plans | $4,619.00 | ↑ +172% |
| Health Net | Commercial|Exchange | $5,420.00 | ↑ +220% |
| BCBS - Anthem | Commercial|MCS | $5,592.00 | ↑ +230% |
| Blue Shield CA | Commercial|All Other Plans | $6,060.00 | ↑ +257% |
| Health Net | Commercial|Care Product | $6,323.00 | ↑ +273% |
| Health Net | Commercial|All Other Plans | $7,572.00 | ↑ +347% |
Visitor-reported prices
Comments
Biopsy lower leg soft tissue at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,713.65 | $152.94 – $3,695.20 |
| Mark Twain Medical Center | San Andreas | $285.05 | $110.73 – $419.44 |
| St. Joseph's Medical Center Stockton | Stockton | $1,661.69 | $152.94 – $2,305.80 |
| Mercy Medical Center Merced | Merced | $2,440.59 | $152.94 – $4,691.61 |
| Sierra Nevada Memorial Hospital | Grass Valley | $2,673.77 | $152.94 – $2,997.82 |
| St. John's Camarillo Hospital | Camarillo | not published | $188.12 – $3,763.88 |
| Petaluma Valley Hospital | Petaluma | not published | $1,921.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $152.94 – $2,058.68 |