Sargramostim injection 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

$434.17

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.

$1,183.00

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.

$71.27 with Health Net vs $660.96 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
Health Net Medicare|All Plans $71.27 ↓ -84%
Humana Medicare|All Plans $71.27 ↓ -84%
HPN Medicare|All Plans $71.27 ↓ -84%
Blue Shield CA Medicare|All Plans $71.27 ↓ -84%
United Medicare|All Plans $71.27 ↓ -84%
BCBS - Anthem Medicare|All Other Plans $71.27 ↓ -84%
Kaiser Medicare|All Plans $71.27 ↓ -84%
Aetna Medicare|All Plans $71.27 ↓ -84%
BrightHealth Commercial|All Plans $71.27 ↓ -84%
Scan Health Plan Medicare|All Plans $71.27 ↓ -84%
HPN Commercial|All Plans $78.40 ↓ -82%
BCBS - Anthem Medicare|Burn $78.40 ↓ -82%
BCBS - Anthem Medicaid|All Plans $85.11 ↓ -80%
United Commercial|Non-Options PPO $88.37 ↓ -80%
Kern Health System Medicaid|> 21 $90.40 ↓ -79%
Kern Health System Medicaid|< 21 $90.40 ↓ -79%
Blue Shield CA Commercial|All Other Plans $94.39 ↓ -78%
Blue Shield CA Commercial|Exchange $94.39 ↓ -78%
Kaiser Commercial|All Plans $96.93 ↓ -78%
Health Net Commercial|Exchange $98.46 ↓ -77%
United Commercial|All Other Plans $98.80 ↓ -77%
United Commercial|Options PPO $99.03 ↓ -77%
United Commercial|HMO $99.03 ↓ -77%
Health Net Commercial|Care Product $114.75 ↓ -74%
Health Net Commercial|All Other Plans $137.69 ↓ -68%
Health Net Medicaid|GemCare $155.06 ↓ -64%
Health Net Medicaid|Non-GemCare $209.75 ↓ -52%
BCBS - Anthem Commercial|Exchange $270.89 ↓ -38%
Aetna Commercial|HMO $285.63 ↓ -34%
Aetna Commercial|PPO $292.03 ↓ -33%
BCBS - Anthem Commercial|All Other Plans $314.99 ↓ -27%
CHN Sun View Commercial|All Plans $326.40 ↓ -25%
Cigna Commercial|PPO $334.56 ↓ -23%
Cigna Commercial|All Other Plans $334.56 ↓ -23%
Western Growers Commercial|All Plans $408.00 ↓ -6%
BCBS - Anthem Commercial|MCS $425.46 ↓ -2%
First Health Commercial|All Plans $571.20 ↑ +32%
Healthsmart Commercial|All Plans $620.16 ↑ +43%
MultiPlan Commercial|All Plans $644.64 ↑ +48%
BCBS - Anthem Commercial|PremerTiered $660.96 ↑ +52%

Visitor-reported prices

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Sargramostim injection at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $438.90 $39.24 – $652.80
Fresno Medical Center FRESNO $552.52 $56.00 – $56.00
Antioch Medical Center ANTIOCH $552.52 $56.00 – $56.00
Redwood City Medical Center Redwood City $552.52 $56.00 – $56.00
Santa Clara Medical Center SANTA CLARA $552.52 $56.00 – $56.00
Baldwin Park Medical Center BALDWIN PARK $513.05 $56.00 – $56.00
Riverside Medical Center RIVERSIDE $513.05 $56.00 – $56.00
Fremont Medical Center FREMONT $552.52 $56.00 – $56.00

All California hospitals for this procedure →