Ortho elbow without jnt cstm w/fit&adj at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$27.53
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.
$75.00
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.
$18.75 with Kern Health System vs $75.00 with Care 1st — 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 |
|---|---|---|---|
| Kern Health System | Medicaid|< 21 | $18.75 | ↓ -32% |
| Kern Health System | Medicaid|> 21 | $18.75 | ↓ -32% |
| Health Net | Medicaid|GemCare | $24.75 | ↓ -10% |
| Health Net | Medicaid|Non-GemCare | $24.75 | ↓ -10% |
| Health Net | Commercial|Exchange | $30.00 | ↑ +9% |
| CHN Sun View | Commercial|All Plans | $30.00 | ↑ +9% |
| Health Net | Commercial|Care Product | $35.25 | ↑ +28% |
| United | Commercial|HMO | $36.00 | ↑ +31% |
| Western Growers | Commercial|All Plans | $37.50 | ↑ +36% |
| HPN | Commercial|All Plans | $38.25 | ↑ +39% |
| United | Commercial|Non-Options PPO | $39.00 | ↑ +42% |
| Health Net | Commercial|All Other Plans | $42.75 | ↑ +55% |
| United | Commercial|Options PPO | $43.50 | ↑ +58% |
| United | Commercial|All Other Plans | $43.50 | ↑ +58% |
| BCBS - Anthem | Commercial|PremerTiered | $49.50 | ↑ +80% |
| Blue Shield CA | Commercial|Exchange | $49.50 | ↑ +80% |
| First Health | Commercial|All Plans | $52.50 | ↑ +91% |
| Cigna | Commercial|All Other Plans | $55.50 | ↑ +102% |
| Cigna | Commercial|PPO | $55.50 | ↑ +102% |
| Healthsmart | Commercial|All Plans | $57.00 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $59.25 | ↑ +115% |
| BCBS - Anthem | Commercial|Exchange | $60.00 | ↑ +118% |
| Blue Shield CA | Commercial|All Other Plans | $67.50 | ↑ +145% |
| BCBS - Anthem | Commercial|All Other Plans | $69.75 | ↑ +153% |
| BCBS - Anthem | Commercial|MCS | $69.75 | ↑ +153% |
| Aetna | Commercial|HMO | $72.75 | ↑ +164% |
| LA Care | Medicaid|> 21 | $75.00 | ↑ +172% |
| Care 1st | Medicaid|> 21 | $75.00 | ↑ +172% |
| Aetna | Commercial|PPO | $75.00 | ↑ +172% |
| Molina | Medicaid|< 21 | $75.00 | ↑ +172% |
| Kaiser | Medicaid|< 21 | $75.00 | ↑ +172% |
| Kaiser | Medicaid|> 21 | $75.00 | ↑ +172% |
| BCBS - Anthem | Medicaid|All Plans | $75.00 | ↑ +172% |
| Partnership Health Plan | Medicaid|< 21 | $75.00 | ↑ +172% |
| Partnership Health Plan | Medicaid|> 21 | $75.00 | ↑ +172% |
| LA Care | Medicaid|< 21 | $75.00 | ↑ +172% |
| Care 1st | Medicaid|< 21 | $75.00 | ↑ +172% |
Visitor-reported prices
Comments
Ortho elbow without jnt cstm w/fit&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $27.83 | $18.75 – $75.00 |
| Arroyo Grande Hospital | Santa Maria | $333.42 | $165.19 – $763.42 |
| French Hospital | San Luis Obispo | $305.37 | $148.01 – $763.42 |
| St. Joseph's Medical Center Stockton | Stockton | $20.00 | $17.68 – $68.00 |
| Mercy Medical Center Merced | Merced | $30.90 | $13.80 – $60.00 |
| Providence Saint Joseph Medical Center | Burbank | $43.05 | $315.21 – $583.14 |
| Mercy San Juan Medical Center | Carmichael | $147.69 | $59.29 – $458.15 |
| Mercy General Hospital | Sacramento | $117.51 | $123.97 – $479.71 |