Hemoglobin 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

$5.62

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.

$15.31

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.

$3.95 with Blue Shield CA vs $15.31 with Aetna — 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
Blue Shield CA Medicare|All Plans $3.95 ↓ -30%
BCBS - Anthem Medicare|All Other Plans $3.95 ↓ -30%
Kaiser Medicare|All Plans $3.95 ↓ -30%
HPN Medicare|All Plans $3.95 ↓ -30%
Aetna Medicare|All Plans $3.95 ↓ -30%
Scan Health Plan Medicare|All Plans $3.95 ↓ -30%
Humana Medicare|All Plans $3.95 ↓ -30%
United Medicare|All Plans $3.95 ↓ -30%
Health Net Medicare|All Plans $3.95 ↓ -30%
BrightHealth Commercial|All Plans $4.19 ↓ -25%
BCBS - Anthem Medicare|Burn $4.35 ↓ -23%
United Commercial|Options PPO $4.74 ↓ -16%
United Commercial|All Other Plans $4.74 ↓ -16%
United Commercial|HMO $4.74 ↓ -16%
United Commercial|Non-Options PPO $4.74 ↓ -16%
Kern Health System Medicaid|< 21 $4.93 ↓ -12%
Kern Health System Medicaid|> 21 $4.93 ↓ -12%
Partnership Health Plan Medicaid|< 21 $5.03 ↓ -10%
Care 1st Medicaid|> 21 $5.03 ↓ -10%
Molina Medicaid|< 21 $5.03 ↓ -10%
Kaiser Medicaid|< 21 $5.03 ↓ -10%
Kaiser Medicaid|> 21 $5.03 ↓ -10%
Care 1st Medicaid|< 21 $5.03 ↓ -10%
Partnership Health Plan Medicaid|> 21 $5.03 ↓ -10%
LA Care Medicaid|< 21 $5.03 ↓ -10%
LA Care Medicaid|> 21 $5.03 ↓ -10%
Kaiser Commercial|All Plans $5.37 ↓ -4%
BCBS - Anthem Medicaid|All Plans $7.19 ↑ +28%
Western Growers Commercial|All Plans $7.66 ↑ +36%
CHN Sun View Commercial|All Plans $9.96 ↑ +77%
Blue Shield CA Commercial|Exchange $9.96 ↑ +77%
BCBS - Anthem Commercial|PremerTiered $10.11 ↑ +80%
First Health Commercial|All Plans $10.72 ↑ +91%
BCBS - Anthem Commercial|Exchange $11.18 ↑ +99%
Cigna Commercial|PPO $11.36 ↑ +102%
Cigna Commercial|All Other Plans $11.36 ↑ +102%
Healthsmart Commercial|All Plans $11.64 ↑ +107%
MultiPlan Commercial|All Plans $12.10 ↑ +115%
Health Net Medicaid|GemCare $12.12 ↑ +116%
BCBS - Anthem Commercial|All Other Plans $13.02 ↑ +132%
Blue Shield CA Commercial|All Other Plans $13.78 ↑ +145%
Aetna Commercial|PPO $15.31 ↑ +172%
BCBS - Anthem Commercial|MCS $15.31 ↑ +172%
Health Net Medicaid|Non-GemCare $15.31 ↑ +172%
Aetna Commercial|HMO $15.31 ↑ +172%

Visitor-reported prices

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Hemoglobin urine at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $5.69 $3.95 – $12.25
Arroyo Grande Hospital Santa Maria $6.56 $3.95 – $15.01
Mark Twain Medical Center San Andreas $10.20 $3.95 – $15.01
French Hospital San Luis Obispo $6.01 $3.95 – $15.01
St. Joseph's Behavioral Health Center Stockton $8.75 $1.54 – $12.25
St. Joseph's Medical Center Stockton Stockton $4.51 $3.22 – $12.56
Mercy Medical Center Mt. Shasta Mt Shasta $11.92 $3.51 – $15.01
Mercy Medical Center Merced Merced $7.89 $3.95 – $14.40

All California hospitals for this procedure →