Cocaine 4 % nasal solution at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$629.41
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.
$1,715.00
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.
$2.15 with United vs $1,054.00 with United — 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 |
|---|---|---|---|
| United | Commercial|Non-Options PPO | $2.15 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $2.58 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $2.58 | ↓ -100% |
| BCBS - Anthem | Commercial|Exchange | $2.93 | ↓ -100% |
| Health Net | Commercial|Care Product | $3.13 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $3.41 | ↓ -99% |
| Health Net | Commercial|All Other Plans | $3.76 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $4.60 | ↓ -99% |
| Aetna | Commercial|HMO | $9.64 | ↓ -98% |
| Aetna | Commercial|PPO | $9.85 | ↓ -98% |
| Health Net | Commercial|Exchange | $100.00 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $263.50 | ↓ -58% |
| CHN Sun View | Commercial|All Plans | $421.60 | ↓ -33% |
| Cigna | Commercial|All Other Plans | $432.14 | ↓ -31% |
| Cigna | Commercial|PPO | $432.14 | ↓ -31% |
| Western Growers | Commercial|All Plans | $527.00 | ↓ -16% |
| HPN | Commercial|All Plans | $537.54 | ↓ -15% |
| First Health | Commercial|All Plans | $737.80 | ↑ +17% |
| Healthsmart | Commercial|All Plans | $801.04 | ↑ +27% |
| MultiPlan | Commercial|All Plans | $832.66 | ↑ +32% |
| BCBS - Anthem | Commercial|PremerTiered | $853.74 | ↑ +36% |
| United | Commercial|HMO | $1,043.46 | ↑ +66% |
| United | Commercial|All Other Plans | $1,054.00 | ↑ +67% |
| United | Commercial|Options PPO | $1,054.00 | ↑ +67% |
Visitor-reported prices
Comments
Cocaine 4 % nasal solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $636.27 | $1.25 – $843.20 |
| St. John's Camarillo Hospital | Camarillo | $386.32 | $1.96 – $687.96 |
| Petaluma Valley Hospital | Petaluma | $858.19 | $1.84 – $1.84 |
| French Hospital | San Luis Obispo | $1,152.48 | $2.02 – $2,881.20 |
| Queen of The Valley Medical Center | Napa | $858.19 | $1.99 – $1.99 |
| Providence St Joseph Hospital Eureka | Eureka | $858.19 | $2.37 – $2.37 |
| Healdsburg Hospital | Healdsburg | $858.19 | $1.72 – $4.68 |
| Redwood Memorial Hospital | Fortuna | $858.19 | $2.38 – $2.38 |