Bx thigh/knee soft tiss supf 27323 at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$159.65
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.
$435.00
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.
$144.40 with LA Care 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 |
|---|---|---|---|
| LA Care | Medicaid|< 21 | $144.40 | ↓ -10% |
| Partnership Health Plan | Medicaid|> 21 | $144.40 | ↓ -10% |
| Molina | Medicaid|< 21 | $144.40 | ↓ -10% |
| Kaiser | Medicaid|< 21 | $144.40 | ↓ -10% |
| Kaiser | Medicaid|> 21 | $144.40 | ↓ -10% |
| Partnership Health Plan | Medicaid|< 21 | $144.40 | ↓ -10% |
| Care 1st | Medicaid|< 21 | $144.40 | ↓ -10% |
| LA Care | Medicaid|> 21 | $144.40 | ↓ -10% |
| Care 1st | Medicaid|> 21 | $144.40 | ↓ -10% |
| BCBS - Anthem | Medicaid|All Plans | $238.26 | ↑ +49% |
| Western Growers | Commercial|All Plans | $239.25 | ↑ +50% |
| CHN Sun View | Commercial|All Plans | $282.75 | ↑ +77% |
| First Health | Commercial|All Plans | $304.50 | ↑ +91% |
| Kern Health System | Medicaid|< 21 | $319.81 | ↑ +100% |
| Kern Health System | Medicaid|> 21 | $319.81 | ↑ +100% |
| Healthsmart | Commercial|All Plans | $330.60 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $343.65 | ↑ +115% |
| BCBS - Anthem | Commercial|PremerTiered | $352.35 | ↑ +121% |
| United | Commercial|HMO | $430.65 | ↑ +170% |
| BCBS - Anthem | Medicare|All Other Plans | $435.00 | ↑ +172% |
| Humana | Medicare|All Plans | $435.00 | ↑ +172% |
| Aetna | Medicare|All Plans | $435.00 | ↑ +172% |
| United | Commercial|All Other Plans | $435.00 | ↑ +172% |
| United | Medicare|All Plans | $435.00 | ↑ +172% |
| United | Commercial|Options PPO | $435.00 | ↑ +172% |
| United | Commercial|Non-Options PPO | $435.00 | ↑ +172% |
| Health Net | Medicaid|GemCare | $435.00 | ↑ +172% |
| Health Net | Medicaid|Non-GemCare | $435.00 | ↑ +172% |
| Kaiser | Medicare|All Plans | $435.00 | ↑ +172% |
| Scan Health Plan | Medicare|All Plans | $435.00 | ↑ +172% |
| BrightHealth | Commercial|All Plans | $435.00 | ↑ +172% |
| HPN | Medicare|All Plans | $435.00 | ↑ +172% |
| BCBS - Anthem | Medicare|Burn | $478.50 | ↑ +200% |
| HPN | Commercial|All Plans | $478.50 | ↑ +200% |
| Kaiser | Commercial|All Plans | $591.60 | ↑ +271% |
| Health Net | Medicare|All Plans | $2,058.68 | ↑ +1189% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↑ +1189% |
| Blue Shield CA | Commercial|Exchange | $2,907.00 | ↑ +1721% |
| BCBS - Anthem | Commercial|Exchange | $3,562.00 | ↑ +2131% |
| Aetna | Commercial|HMO | $3,842.00 | ↑ +2307% |
| Aetna | Commercial|PPO | $4,056.00 | ↑ +2441% |
| BCBS - Anthem | Commercial|All Other Plans | $4,142.00 | ↑ +2494% |
| Health Net | Commercial|Exchange | $5,420.00 | ↑ +3295% |
| BCBS - Anthem | Commercial|MCS | $5,592.00 | ↑ +3403% |
| Blue Shield CA | Commercial|All Other Plans | $6,060.00 | ↑ +3696% |
| Health Net | Commercial|Care Product | $6,323.00 | ↑ +3861% |
| Health Net | Commercial|All Other Plans | $7,572.00 | ↑ +4643% |
Visitor-reported prices
Comments
Bx thigh/knee soft tiss supf 27323 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $161.39 | $144.40 – $435.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,726.67 | $144.40 – $2,394.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,434.40 | $1,805.60 – $5,171.00 |
| Mercy Medical Center Merced | Merced | $2,263.43 | $144.40 – $1,894.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $4,014.47 | $144.40 – $4,500.16 |
| Mercy San Juan Medical Center | Carmichael | $2,601.91 | $144.40 – $7,881.68 |
| Mercy General Hospital | Sacramento | $2,070.13 | $144.40 – $7,596.80 |
| Mercy Hospital of Folsom | Folsom | $3,693.95 | $144.40 – $7,786.72 |