Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution 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

$4,024.53

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.

$10,966.00

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.

$38.03 with BCBS - Anthem vs $8,882.46 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 $38.03 ↓ -99%
Humana Medicare|All Plans $38.12 ↓ -99%
HPN Medicare|All Plans $38.12 ↓ -99%
BrightHealth Commercial|All Plans $38.12 ↓ -99%
Aetna Medicare|All Plans $38.12 ↓ -99%
Scan Health Plan Medicare|All Plans $38.12 ↓ -99%
Blue Shield CA Medicare|All Plans $38.12 ↓ -99%
BCBS - Anthem Medicare|All Other Plans $38.12 ↓ -99%
United Medicare|All Plans $38.12 ↓ -99%
Kaiser Medicare|All Plans $38.12 ↓ -99%
Health Net Medicare|All Plans $38.12 ↓ -99%
United Commercial|Non-Options PPO $40.59 ↓ -99%
Kern Health System Medicaid|> 21 $40.60 ↓ -99%
Kern Health System Medicaid|< 21 $40.60 ↓ -99%
HPN Commercial|All Plans $41.93 ↓ -99%
BCBS - Anthem Medicare|Burn $41.93 ↓ -99%
Health Net Commercial|Exchange $44.82 ↓ -99%
Blue Shield CA Commercial|Exchange $44.91 ↓ -99%
Blue Shield CA Commercial|All Other Plans $44.91 ↓ -99%
United Commercial|Options PPO $47.54 ↓ -99%
United Commercial|HMO $47.54 ↓ -99%
United Commercial|All Other Plans $47.69 ↓ -99%
BCBS - Anthem Commercial|Exchange $49.50 ↓ -99%
Kaiser Commercial|All Plans $51.84 ↓ -99%
Health Net Commercial|Care Product $54.58 ↓ -99%
BCBS - Anthem Commercial|All Other Plans $57.56 ↓ -99%
Health Net Commercial|All Other Plans $65.51 ↓ -98%
Health Net Medicaid|GemCare $69.65 ↓ -98%
BCBS - Anthem Commercial|MCS $77.74 ↓ -98%
Health Net Medicaid|Non-GemCare $94.21 ↓ -98%
Aetna Commercial|HMO $137.85 ↓ -97%
Aetna Commercial|PPO $140.95 ↓ -96%
CHN Sun View Commercial|All Plans $4,386.40 ↑ +9%
Cigna Commercial|All Other Plans $4,496.06 ↑ +12%
Cigna Commercial|PPO $4,496.06 ↑ +12%
Western Growers Commercial|All Plans $5,483.00 ↑ +36%
First Health Commercial|All Plans $7,676.20 ↑ +91%
Healthsmart Commercial|All Plans $8,334.16 ↑ +107%
MultiPlan Commercial|All Plans $8,663.14 ↑ +115%
BCBS - Anthem Commercial|PremerTiered $8,882.46 ↑ +121%

Visitor-reported prices

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Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at other California hospitals

Hospital City Cash price Negotiated range
Queen of The Valley Medical Center Napa $9,238.95 $31.26 – $62.14
Providence St Joseph Hospital Eureka Eureka $9,238.95 $31.26 – $62.14
Mercy Medical Center Merced Merced $4,017.00 $28.90 – $7,332.00
Dominican Hospital Santa Cruz $3,600.00 $28.90 – $6,800.00
Northridge Hospital Medical Center Northridge $1,768.03 $20.89 – $6,337.00
Sierra Nevada Memorial Hospital Grass Valley $5,706.15 $31.80 – $10,260.60
Sequoia Hospital Redwood City $2,366.00 $24.14 – $5,330.00
Providence Saint Joseph Medical Center Burbank $11,107.03 $29.94 – $62.14

All California hospitals for this procedure →