Injection of sinus tract at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$1,335.52
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.
$3,639.00
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.
$121.76 with LA Care vs $6,300.00 with Health Net — 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 |
|---|---|---|---|
| LA Care | Medicaid|< 21 | $121.76 | ↓ -91% |
| Kaiser | Medicaid|> 21 | $121.76 | ↓ -91% |
| Kaiser | Medicaid|< 21 | $121.76 | ↓ -91% |
| Care 1st | Medicaid|> 21 | $121.76 | ↓ -91% |
| Partnership Health Plan | Medicaid|> 21 | $121.76 | ↓ -91% |
| Molina | Medicaid|< 21 | $121.76 | ↓ -91% |
| Partnership Health Plan | Medicaid|< 21 | $121.76 | ↓ -91% |
| LA Care | Medicaid|> 21 | $121.76 | ↓ -91% |
| Care 1st | Medicaid|< 21 | $121.76 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $200.90 | ↓ -85% |
| Kern Health System | Medicaid|> 21 | $269.68 | ↓ -80% |
| Kern Health System | Medicaid|< 21 | $269.68 | ↓ -80% |
| Health Net | Medicaid|GemCare | $462.58 | ↓ -65% |
| Health Net | Medicaid|Non-GemCare | $625.72 | ↓ -53% |
| Blue Shield CA | Commercial|Exchange | $898.00 | ↓ -33% |
| Blue Shield CA | Commercial|All Other Plans | $1,871.00 | ↑ +40% |
| BCBS - Anthem | Medicare|All Other Plans | $1,882.11 | ↑ +41% |
| Humana | Medicare|All Plans | $1,882.11 | ↑ +41% |
| Aetna | Medicare|All Plans | $1,882.11 | ↑ +41% |
| United | Medicare|All Plans | $1,882.11 | ↑ +41% |
| Health Net | Medicare|All Plans | $1,882.11 | ↑ +41% |
| Kaiser | Medicare|All Plans | $1,882.11 | ↑ +41% |
| Blue Shield CA | Medicare|All Plans | $1,882.11 | ↑ +41% |
| Scan Health Plan | Medicare|All Plans | $1,882.11 | ↑ +41% |
| BrightHealth | Commercial|All Plans | $1,882.11 | ↑ +41% |
| HPN | Medicare|All Plans | $1,882.11 | ↑ +41% |
| Western Growers | Commercial|All Plans | $2,001.45 | ↑ +50% |
| BCBS - Anthem | Medicare|Burn | $2,070.32 | ↑ +55% |
| HPN | Commercial|All Plans | $2,070.32 | ↑ +55% |
| CHN Sun View | Commercial|All Plans | $2,365.35 | ↑ +77% |
| First Health | Commercial|All Plans | $2,547.30 | ↑ +91% |
| Kaiser | Commercial|All Plans | $2,559.67 | ↑ +92% |
| Healthsmart | Commercial|All Plans | $2,765.64 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $2,874.81 | ↑ +115% |
| BCBS - Anthem | Commercial|PremerTiered | $2,947.59 | ↑ +121% |
| BCBS - Anthem | Commercial|Exchange | $3,562.00 | ↑ +167% |
| United | Commercial|HMO | $3,602.61 | ↑ +170% |
| United | Commercial|Options PPO | $3,639.00 | ↑ +172% |
| United | Commercial|All Other Plans | $3,639.00 | ↑ +172% |
| United | Commercial|Non-Options PPO | $3,639.00 | ↑ +172% |
| Aetna | Commercial|HMO | $3,842.00 | ↑ +188% |
| Aetna | Commercial|PPO | $4,056.00 | ↑ +204% |
| BCBS - Anthem | Commercial|All Other Plans | $4,142.00 | ↑ +210% |
| Health Net | Commercial|Exchange | $4,511.00 | ↑ +238% |
| Health Net | Commercial|Care Product | $5,261.00 | ↑ +294% |
| BCBS - Anthem | Commercial|MCS | $5,592.00 | ↑ +319% |
| Health Net | Commercial|All Other Plans | $6,300.00 | ↑ +372% |
Visitor-reported prices
Comments
Injection of sinus tract at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,350.07 | $121.76 – $2,911.20 |
| St. John's Camarillo Hospital | Camarillo | $764.31 | $149.76 – $3,484.24 |
| Arroyo Grande Hospital | Santa Maria | $2,446.45 | $121.76 – $5,601.68 |
| Mark Twain Medical Center | San Andreas | $1,995.34 | $121.76 – $1,286.74 |
| French Hospital | San Luis Obispo | $2,240.68 | $121.76 – $5,601.68 |
| St. Joseph's Medical Center Stockton | Stockton | $1,294.19 | $121.76 – $2,101.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,178.72 | $691.00 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,249.92 | $1,597.00 – $3,462.00 |