Bupivacaine 0.1 % epidural pca - 1 hour dose limit 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

$19.82

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.

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What you pay up front if you don't use insurance.

$54.00

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.

$6.50 with BCBS - Anthem vs $26.00 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 →

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
BCBS - Anthem Medicaid|All Plans $6.50 ↓ -67%
CHN Sun View Commercial|All Plans $10.40 ↓ -48%
Cigna Commercial|All Other Plans $10.66 ↓ -46%
Cigna Commercial|PPO $10.66 ↓ -46%
Western Growers Commercial|All Plans $13.00 ↓ -34%
HPN Commercial|All Plans $13.26 ↓ -33%
First Health Commercial|All Plans $18.20 ↓ -8%
Healthsmart Commercial|All Plans $19.76 ↓ -0%
MultiPlan Commercial|All Plans $20.54 ↑ +4%
BCBS - Anthem Commercial|PremerTiered $21.06 ↑ +6%
BCBS - Anthem Commercial|Exchange $21.32 ↑ +8%
BCBS - Anthem Commercial|All Other Plans $24.70 ↑ +25%
United Commercial|HMO $25.74 ↑ +30%
United Commercial|Non-Options PPO $26.00 ↑ +31%
BCBS - Anthem Commercial|MCS $26.00 ↑ +31%
United Commercial|All Other Plans $26.00 ↑ +31%
United Commercial|Options PPO $26.00 ↑ +31%
Health Net Commercial|Exchange $26.00 ↑ +31%

Visitor-reported prices

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Bupivacaine 0.1 % epidural pca - 1 hour dose limit at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $20.04 $10.40 – $26.00
St. John's Camarillo Hospital Camarillo $29.35 $18.09 – $52.26
Petaluma Valley Hospital Petaluma $84.15 $0.02 – $0.09
Arroyo Grande Hospital Santa Maria $66.34 $24.30 – $52.92
French Hospital San Luis Obispo $30.97 $14.58 – $52.92
Queen of The Valley Medical Center Napa $84.15 $0.02 – $0.09
Providence St Joseph Hospital Eureka Eureka $84.15 $0.02 – $0.11
Healdsburg Hospital Healdsburg $84.15 $0.01 – $0.22

All California hospitals for this procedure →