Drug of abuse screen urine 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

$285.53

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.

$778.00

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.

$10.08 with Molina vs $383.40 with Blue Shield CA — 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
Molina Medicaid|< 21 $10.08 ↓ -96%
Kaiser Medicaid|> 21 $10.08 ↓ -96%
LA Care Medicaid|> 21 $10.08 ↓ -96%
Kaiser Medicaid|< 21 $10.08 ↓ -96%
LA Care Medicaid|< 21 $10.08 ↓ -96%
Partnership Health Plan Medicaid|> 21 $10.08 ↓ -96%
Care 1st Medicaid|> 21 $10.08 ↓ -96%
Partnership Health Plan Medicaid|< 21 $10.08 ↓ -96%
Care 1st Medicaid|< 21 $10.08 ↓ -96%
BCBS - Anthem Medicare|All Other Plans $12.60 ↓ -96%
Humana Medicare|All Plans $12.60 ↓ -96%
Aetna Medicare|All Plans $12.60 ↓ -96%
United Medicare|All Plans $12.60 ↓ -96%
Health Net Medicare|All Plans $12.60 ↓ -96%
Kaiser Medicare|All Plans $12.60 ↓ -96%
Blue Shield CA Medicare|All Plans $12.60 ↓ -96%
Scan Health Plan Medicare|All Plans $12.60 ↓ -96%
HPN Medicare|All Plans $12.60 ↓ -96%
BrightHealth Commercial|All Plans $13.36 ↓ -95%
BCBS - Anthem Medicare|Burn $13.86 ↓ -95%
Kern Health System Medicaid|< 21 $14.16 ↓ -95%
Kern Health System Medicaid|> 21 $14.16 ↓ -95%
United Commercial|Non-Options PPO $15.12 ↓ -95%
United Commercial|HMO $15.12 ↓ -95%
United Commercial|All Other Plans $15.12 ↓ -95%
United Commercial|Options PPO $15.12 ↓ -95%
Kaiser Commercial|All Plans $17.14 ↓ -94%
BCBS - Anthem Medicaid|All Plans $23.65 ↓ -92%
Health Net Medicaid|GemCare $24.29 ↓ -91%
Health Net Medicaid|Non-GemCare $32.86 ↓ -88%
Cigna Commercial|All Other Plans $36.21 ↓ -87%
Cigna Commercial|PPO $36.21 ↓ -87%
Aetna Commercial|HMO $54.85 ↓ -81%
Aetna Commercial|PPO $59.02 ↓ -79%
BCBS - Anthem Commercial|Exchange $122.69 ↓ -57%
BCBS - Anthem Commercial|All Other Plans $142.60 ↓ -50%
BCBS - Anthem Commercial|MCS $192.54 ↓ -33%
Western Growers Commercial|All Plans $213.00 ↓ -25%
Blue Shield CA Commercial|Exchange $276.90 ↓ -3%
CHN Sun View Commercial|All Plans $276.90 ↓ -3%
BCBS - Anthem Commercial|PremerTiered $281.16 ↓ -2%
First Health Commercial|All Plans $298.20 ↑ +4%
Healthsmart Commercial|All Plans $323.76 ↑ +13%
MultiPlan Commercial|All Plans $336.54 ↑ +18%
Blue Shield CA Commercial|All Other Plans $383.40 ↑ +34%

Visitor-reported prices

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Drug of abuse screen urine at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $288.64 $10.08 – $340.80
Banner Lassen Medical Center Susanville $23.79 $2.52 – $36.86
St. Joseph's Behavioral Health Center Stockton $445.38 $12.60 – $624.00
Redwood Memorial Hospital Fortuna $103.02 $216.22 – $216.22
St. Joseph's Medical Center Stockton Stockton $231.09 $10.08 – $644.52
Mercy Medical Center Mt. Shasta Mt Shasta $9.81 $6.56 – $12.60
Mercy Medical Center Merced Merced $433.63 $10.08 – $791.48
Glendale Memorial Hospital Health Center Glendale $16.63 $10.08 – $51.00

All California hospitals for this procedure →