Biopsy of salivary gland 42400 at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$902.82
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.
$2,460.00
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.
$57.67 with Molina vs $5,592.00 with BCBS - Anthem — 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 | $57.67 | ↓ -94% |
| Kaiser | Medicaid|< 21 | $57.67 | ↓ -94% |
| LA Care | Medicaid|< 21 | $57.67 | ↓ -94% |
| Kaiser | Medicaid|> 21 | $57.67 | ↓ -94% |
| Care 1st | Medicaid|< 21 | $57.67 | ↓ -94% |
| LA Care | Medicaid|> 21 | $57.67 | ↓ -94% |
| Care 1st | Medicaid|> 21 | $57.67 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $57.67 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $57.67 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $95.16 | ↓ -89% |
| Kern Health System | Medicaid|< 21 | $127.73 | ↓ -86% |
| Kern Health System | Medicaid|> 21 | $127.73 | ↓ -86% |
| Health Net | Medicaid|GemCare | $219.09 | ↓ -76% |
| Health Net | Medicaid|Non-GemCare | $296.37 | ↓ -67% |
| BCBS - Anthem | Medicare|All Other Plans | $893.98 | ↓ -1% |
| Humana | Medicare|All Plans | $893.98 | ↓ -1% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -1% |
| United | Medicare|All Plans | $893.98 | ↓ -1% |
| Health Net | Medicare|All Plans | $893.98 | ↓ -1% |
| Kaiser | Medicare|All Plans | $893.98 | ↓ -1% |
| Blue Shield CA | Medicare|All Plans | $893.98 | ↓ -1% |
| Scan Health Plan | Medicare|All Plans | $893.98 | ↓ -1% |
| BrightHealth | Commercial|All Plans | $893.98 | ↓ -1% |
| HPN | Medicare|All Plans | $893.98 | ↓ -1% |
| Blue Shield CA | Commercial|Exchange | $898.00 | ↓ -1% |
| BCBS - Anthem | Medicare|Burn | $983.38 | ↑ +9% |
| HPN | Commercial|All Plans | $983.38 | ↑ +9% |
| Kaiser | Commercial|All Plans | $1,215.81 | ↑ +35% |
| Western Growers | Commercial|All Plans | $1,353.00 | ↑ +50% |
| CHN Sun View | Commercial|All Plans | $1,599.00 | ↑ +77% |
| First Health | Commercial|All Plans | $1,722.00 | ↑ +91% |
| Healthsmart | Commercial|All Plans | $1,869.60 | ↑ +107% |
| Blue Shield CA | Commercial|All Other Plans | $1,871.00 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $1,943.40 | ↑ +115% |
| BCBS - Anthem | Commercial|PremerTiered | $1,992.60 | ↑ +121% |
| United | Commercial|HMO | $2,435.40 | ↑ +170% |
| United | Commercial|Non-Options PPO | $2,460.00 | ↑ +172% |
| United | Commercial|Options PPO | $2,460.00 | ↑ +172% |
| United | Commercial|All Other Plans | $2,460.00 | ↑ +172% |
| BCBS - Anthem | Commercial|Exchange | $3,562.00 | ↑ +295% |
| Health Net | Commercial|Exchange | $3,753.00 | ↑ +316% |
| Aetna | Commercial|HMO | $3,842.00 | ↑ +326% |
| Aetna | Commercial|PPO | $4,056.00 | ↑ +349% |
| BCBS - Anthem | Commercial|All Other Plans | $4,142.00 | ↑ +359% |
| Health Net | Commercial|Care Product | $4,377.00 | ↑ +385% |
| Health Net | Commercial|All Other Plans | $5,242.00 | ↑ +481% |
| BCBS - Anthem | Commercial|MCS | $5,592.00 | ↑ +519% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $912.66 | $57.67 – $1,968.00 |
| St. John's Camarillo Hospital | Camarillo | $723.14 | $70.93 – $1,628.92 |
| Banner Lassen Medical Center | Susanville | $854.51 | $82.93 – $1,587.89 |
| Arroyo Grande Hospital | Santa Maria | $1,322.95 | $57.67 – $2,940.98 |
| Mark Twain Medical Center | San Andreas | $1,341.99 | $57.67 – $864.36 |
| French Hospital | San Luis Obispo | $1,087.41 | $57.67 – $1,940.40 |
| Queen of The Valley Medical Center | Napa | $843.03 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,043.46 | $910.78 – $8,018.00 |