Open thrombectomy of av fistula without revision 36831 at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$5,046.25
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.
$13,750.00
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.
$405.01 with Molina vs $24,345.00 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 →
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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 |
|---|---|---|---|
| Molina | Medicaid|< 21 | $405.01 | ↓ -92% |
| Kaiser | Medicaid|< 21 | $405.01 | ↓ -92% |
| LA Care | Medicaid|< 21 | $405.01 | ↓ -92% |
| Kaiser | Medicaid|> 21 | $405.01 | ↓ -92% |
| Care 1st | Medicaid|< 21 | $405.01 | ↓ -92% |
| LA Care | Medicaid|> 21 | $405.01 | ↓ -92% |
| Care 1st | Medicaid|> 21 | $405.01 | ↓ -92% |
| Partnership Health Plan | Medicaid|< 21 | $405.01 | ↓ -92% |
| Partnership Health Plan | Medicaid|> 21 | $405.01 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $668.26 | ↓ -87% |
| Kern Health System | Medicaid|< 21 | $897.01 | ↓ -82% |
| Kern Health System | Medicaid|> 21 | $897.01 | ↓ -82% |
| Health Net | Medicaid|GemCare | $1,538.64 | ↓ -70% |
| Health Net | Medicaid|Non-GemCare | $2,081.31 | ↓ -59% |
| BCBS - Anthem | Medicare|All Other Plans | $6,868.48 | ↑ +36% |
| Humana | Medicare|All Plans | $6,868.48 | ↑ +36% |
| Aetna | Medicare|All Plans | $6,868.48 | ↑ +36% |
| United | Medicare|All Plans | $6,868.48 | ↑ +36% |
| Health Net | Medicare|All Plans | $6,868.48 | ↑ +36% |
| Kaiser | Medicare|All Plans | $6,868.48 | ↑ +36% |
| Blue Shield CA | Medicare|All Plans | $6,868.48 | ↑ +36% |
| Scan Health Plan | Medicare|All Plans | $6,868.48 | ↑ +36% |
| BrightHealth | Commercial|All Plans | $6,868.48 | ↑ +36% |
| HPN | Medicare|All Plans | $6,868.48 | ↑ +36% |
| BCBS - Anthem | Medicare|Burn | $7,555.33 | ↑ +50% |
| HPN | Commercial|All Plans | $7,555.33 | ↑ +50% |
| Western Growers | Commercial|All Plans | $7,562.50 | ↑ +50% |
| Health Net | Commercial|Exchange | $7,830.00 | ↑ +55% |
| BCBS - Anthem | Commercial|Exchange | $8,541.00 | ↑ +69% |
| CHN Sun View | Commercial|All Plans | $8,937.50 | ↑ +77% |
| Health Net | Commercial|Care Product | $9,133.00 | ↑ +81% |
| Kaiser | Commercial|All Plans | $9,341.13 | ↑ +85% |
| First Health | Commercial|All Plans | $9,625.00 | ↑ +91% |
| BCBS - Anthem | Commercial|All Other Plans | $9,931.00 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $10,450.00 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $10,862.50 | ↑ +115% |
| Health Net | Commercial|All Other Plans | $10,937.00 | ↑ +117% |
| BCBS - Anthem | Commercial|PremerTiered | $11,137.50 | ↑ +121% |
| Blue Shield CA | Commercial|Exchange | $11,681.00 | ↑ +131% |
| BCBS - Anthem | Commercial|MCS | $13,407.00 | ↑ +166% |
| United | Commercial|HMO | $13,612.50 | ↑ +170% |
| United | Commercial|All Other Plans | $13,750.00 | ↑ +172% |
| United | Commercial|Options PPO | $13,750.00 | ↑ +172% |
| United | Commercial|Non-Options PPO | $13,750.00 | ↑ +172% |
| Aetna | Commercial|HMO | $13,923.00 | ↑ +176% |
| Aetna | Commercial|PPO | $14,699.00 | ↑ +191% |
| Blue Shield CA | Commercial|All Other Plans | $24,345.00 | ↑ +382% |
Visitor-reported prices
Comments
Open thrombectomy of av fistula without revision 36831 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $5,101.25 | $405.01 – $11,000.00 |
| Arroyo Grande Hospital | Santa Maria | $5,483.54 | $405.01 – $12,555.76 |
| French Hospital | San Luis Obispo | $5,022.31 | $405.01 – $12,555.76 |
| Queen of The Valley Medical Center | Napa | $7,977.93 | $7,900.80 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,385.87 | $0.80 – $7,669.61 |
| St. John's Camarillo Hospital | Camarillo | not published | $498.16 – $12,900.80 |
| Petaluma Valley Hospital | Petaluma | not published | $7,498.76 – $15,313.00 |
| Mark Twain Medical Center | San Andreas | not published | $405.01 – $405.01 |