Change cystostomy tube simple 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

$320.76

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.

$874.00

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.

$67.50 with Care 1st 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 →

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
Care 1st Medicaid|< 21 $67.50 ↓ -79%
Kaiser Medicaid|> 21 $67.50 ↓ -79%
Kaiser Medicaid|< 21 $67.50 ↓ -79%
LA Care Medicaid|< 21 $67.50 ↓ -79%
Partnership Health Plan Medicaid|> 21 $67.50 ↓ -79%
Molina Medicaid|< 21 $67.50 ↓ -79%
Partnership Health Plan Medicaid|< 21 $67.50 ↓ -79%
LA Care Medicaid|> 21 $67.50 ↓ -79%
Care 1st Medicaid|> 21 $67.50 ↓ -79%
BCBS - Anthem Medicaid|All Plans $111.37 ↓ -65%
Kern Health System Medicaid|> 21 $149.49 ↓ -53%
Kern Health System Medicaid|< 21 $149.49 ↓ -53%
Health Net Medicaid|GemCare $256.42 ↓ -20%
BCBS - Anthem Medicare|All Other Plans $309.02 ↓ -4%
Humana Medicare|All Plans $309.02 ↓ -4%
Aetna Medicare|All Plans $309.02 ↓ -4%
United Medicare|All Plans $309.02 ↓ -4%
Health Net Medicare|All Plans $309.02 ↓ -4%
Kaiser Medicare|All Plans $309.02 ↓ -4%
Blue Shield CA Medicare|All Plans $309.02 ↓ -4%
Scan Health Plan Medicare|All Plans $309.02 ↓ -4%
BrightHealth Commercial|All Plans $309.02 ↓ -4%
HPN Medicare|All Plans $309.02 ↓ -4%
BCBS - Anthem Medicare|Burn $339.92 ↑ +6%
HPN Commercial|All Plans $339.92 ↑ +6%
Western Growers Commercial|All Plans $345.95 ↑ +8%
Health Net Medicaid|Non-GemCare $346.86 ↑ +8%
CHN Sun View Commercial|All Plans $408.85 ↑ +27%
Kaiser Commercial|All Plans $420.27 ↑ +31%
First Health Commercial|All Plans $440.30 ↑ +37%
Healthsmart Commercial|All Plans $478.04 ↑ +49%
MultiPlan Commercial|All Plans $496.91 ↑ +55%
BCBS - Anthem Commercial|PremerTiered $509.49 ↑ +59%
United Commercial|HMO $622.71 ↑ +94%
United Commercial|All Other Plans $629.00 ↑ +96%
United Commercial|Non-Options PPO $629.00 ↑ +96%
United Commercial|Options PPO $629.00 ↑ +96%
Blue Shield CA Commercial|Exchange $898.00 ↑ +180%
Blue Shield CA Commercial|All Other Plans $1,871.00 ↑ +483%
Health Net Commercial|Exchange $3,123.00 ↑ +874%
BCBS - Anthem Commercial|Exchange $3,562.00 ↑ +1010%
Health Net Commercial|Care Product $3,643.00 ↑ +1036%
Aetna Commercial|HMO $3,842.00 ↑ +1098%
Aetna Commercial|PPO $4,056.00 ↑ +1164%
BCBS - Anthem Commercial|All Other Plans $4,142.00 ↑ +1191%
Health Net Commercial|All Other Plans $4,362.00 ↑ +1260%
BCBS - Anthem Commercial|MCS $5,592.00 ↑ +1643%

Visitor-reported prices

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Change cystostomy tube simple at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $324.26 $67.50 – $503.20
St. John's Camarillo Hospital Camarillo $212.87 $83.03 – $539.32
Banner Lassen Medical Center Susanville $207.76 $48.64 – $386.06
Petaluma Valley Hospital Petaluma $1,014.39 $336.70 – $1,687.00
Arroyo Grande Hospital Santa Maria $381.35 $67.50 – $873.18
Mark Twain Medical Center San Andreas $99.90 $36.74 – $139.16
French Hospital San Luis Obispo $339.08 $67.50 – $824.18
Queen of The Valley Medical Center Napa $2,007.87 $354.75 – $6,200.00

All California hospitals for this procedure →