Cath symplicity spyral at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$28,440.67
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.
$77,495.00
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.
$19,373.75 with Kern Health System vs $77,495.00 with Aetna — 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 |
|---|---|---|---|
| Kern Health System | Medicaid|> 21 | $19,373.75 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $19,373.75 | ↓ -32% |
| Kern Health System | Medicaid|< 21 | $19,373.75 | ↓ -32% |
| Health Net | Medicaid|GemCare | $25,573.35 | ↓ -10% |
| Health Net | Medicaid|Non-GemCare | $25,573.35 | ↓ -10% |
| CHN Sun View | Commercial|All Plans | $30,998.00 | ↑ +9% |
| Health Net | Commercial|Exchange | $30,998.00 | ↑ +9% |
| Health Net | Commercial|Care Product | $36,422.65 | ↑ +28% |
| United | Commercial|HMO | $37,197.60 | ↑ +31% |
| Western Growers | Commercial|All Plans | $38,747.50 | ↑ +36% |
| HPN | Commercial|All Plans | $39,522.45 | ↑ +39% |
| United | Commercial|Non-Options PPO | $40,297.40 | ↑ +42% |
| Health Net | Commercial|All Other Plans | $44,172.15 | ↑ +55% |
| United | Commercial|Options PPO | $44,947.10 | ↑ +58% |
| United | Commercial|All Other Plans | $44,947.10 | ↑ +58% |
| Blue Shield CA | Commercial|Exchange | $51,146.70 | ↑ +80% |
| BCBS - Anthem | Commercial|PremerTiered | $51,146.70 | ↑ +80% |
| First Health | Commercial|All Plans | $54,246.50 | ↑ +91% |
| Cigna | Commercial|All Other Plans | $57,346.30 | ↑ +102% |
| Cigna | Commercial|PPO | $57,346.30 | ↑ +102% |
| Healthsmart | Commercial|All Plans | $58,896.20 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $61,221.05 | ↑ +115% |
| BCBS - Anthem | Commercial|Exchange | $61,996.00 | ↑ +118% |
| Blue Shield CA | Commercial|All Other Plans | $69,745.50 | ↑ +145% |
| BCBS - Anthem | Commercial|All Other Plans | $72,070.35 | ↑ +153% |
| BCBS - Anthem | Commercial|MCS | $72,070.35 | ↑ +153% |
| Aetna | Commercial|HMO | $75,170.15 | ↑ +164% |
| Aetna | Commercial|PPO | $77,495.00 | ↑ +172% |
Visitor-reported prices
Comments
Cath symplicity spyral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Medical Center Stockton | Stockton | $13,670.12 | $12,089.22 – $46,497.00 |
| Mercy Medical Center Merced | Merced | $23,945.96 | $10,694.31 – $44,637.12 |