Dextrose 5 % IV bolus 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.

Full explanation →

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.

$4.75 with BCBS - Anthem vs $43.74 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
BCBS - Anthem Medicaid|All Plans $4.75 ↓ -76%
Kern Health System Medicaid|> 21 $5.11 ↓ -74%
Kern Health System Medicaid|< 21 $5.11 ↓ -74%
United Commercial|Non-Options PPO $5.73 ↓ -71%
United Commercial|HMO $5.94 ↓ -70%
United Commercial|Options PPO $5.94 ↓ -70%
United Commercial|All Other Plans $6.01 ↓ -70%
Blue Shield CA Commercial|Exchange $8.03 ↓ -59%
Blue Shield CA Commercial|All Other Plans $8.03 ↓ -59%
Health Net Commercial|Exchange $8.38 ↓ -58%
Health Net Medicaid|GemCare $8.77 ↓ -56%
Health Net Commercial|Care Product $9.78 ↓ -51%
Health Net Commercial|All Other Plans $11.72 ↓ -41%
Health Net Medicaid|Non-GemCare $11.87 ↓ -40%
Aetna Commercial|HMO $17.36 ↓ -12%
Aetna Commercial|PPO $17.75 ↓ -10%
BCBS - Anthem Commercial|Exchange $21.21 ↑ +7%
CHN Sun View Commercial|All Plans $21.60 ↑ +9%
Cigna Commercial|All Other Plans $22.14 ↑ +12%
Cigna Commercial|PPO $22.14 ↑ +12%
BCBS - Anthem Commercial|All Other Plans $24.66 ↑ +24%
Western Growers Commercial|All Plans $27.00 ↑ +36%
HPN Commercial|All Plans $27.54 ↑ +39%
BCBS - Anthem Commercial|MCS $33.31 ↑ +68%
First Health Commercial|All Plans $37.80 ↑ +91%
Healthsmart Commercial|All Plans $41.04 ↑ +107%
MultiPlan Commercial|All Plans $42.66 ↑ +115%
BCBS - Anthem Commercial|PremerTiered $43.74 ↑ +121%

Visitor-reported prices

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Dextrose 5 % IV bolus at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $20.04 $3.34 – $43.20
St. John's Camarillo Hospital Camarillo $57.38 $5.51 – $53.71
Petaluma Valley Hospital Petaluma $65.33 $7.28 – $13.28
Arroyo Grande Hospital Santa Maria $23.12 $5.51 – $52.92
French Hospital San Luis Obispo $21.17 $3.64 – $52.92
Queen of The Valley Medical Center Napa $65.33 $7.28 – $14.38
Providence St Joseph Hospital Eureka Eureka $65.33 $6.08 – $17.15
Healdsburg Hospital Healdsburg $65.33 $5.36 – $33.87

All California hospitals for this procedure →