Pacemaker leadless 19.5f 32.2mm ra 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

$45,803.44

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.

$124,805.00

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.

$31,201.25 with BCBS - Anthem vs $116,068.65 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 $31,201.25 ↓ -32%
Kern Health System Medicaid|> 21 $31,201.25 ↓ -32%
Kern Health System Medicaid|< 21 $31,201.25 ↓ -32%
Health Net Medicaid|GemCare $41,185.65 ↓ -10%
Health Net Medicaid|Non-GemCare $41,185.65 ↓ -10%
CHN Sun View Commercial|All Plans $49,922.00 ↑ +9%
Health Net Commercial|Exchange $49,922.00 ↑ +9%
Health Net Commercial|Care Product $58,658.35 ↑ +28%
United Commercial|HMO $59,906.40 ↑ +31%
Western Growers Commercial|All Plans $62,402.50 ↑ +36%
HPN Commercial|All Plans $63,650.55 ↑ +39%
United Commercial|Non-Options PPO $64,898.60 ↑ +42%
Health Net Commercial|All Other Plans $71,138.85 ↑ +55%
United Commercial|All Other Plans $72,386.90 ↑ +58%
United Commercial|Options PPO $72,386.90 ↑ +58%
BCBS - Anthem Commercial|PremerTiered $82,371.30 ↑ +80%
First Health Commercial|All Plans $87,363.50 ↑ +91%
Cigna Commercial|All Other Plans $92,355.70 ↑ +102%
Cigna Commercial|PPO $92,355.70 ↑ +102%
Healthsmart Commercial|All Plans $94,851.80 ↑ +107%
MultiPlan Commercial|All Plans $98,595.95 ↑ +115%
BCBS - Anthem Commercial|Exchange $99,844.00 ↑ +118%
BCBS - Anthem Commercial|MCS $116,068.65 ↑ +153%
BCBS - Anthem Commercial|All Other Plans $116,068.65 ↑ +153%

Visitor-reported prices

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Pacemaker leadless 19.5f 32.2mm ra at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $46,302.66 $31,201.25 – $99,844.00
St. John's Camarillo Hospital Camarillo $49,197.04 $7,408.80 – $24,078.60
Petaluma Valley Hospital Petaluma $73,929.60 not published
Arroyo Grande Hospital Santa Maria $48,075.10 $7,100.10 – $30,252.60
French Hospital San Luis Obispo $44,031.40 $5,865.30 – $30,252.60
Queen of The Valley Medical Center Napa $73,929.60 not published
Providence St Joseph Hospital Eureka Eureka $28,029.60 not published
Healdsburg Hospital Healdsburg $33,048.00 not published

All California hospitals for this procedure →