Tomosynthesis breast diagnostic left 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

$146.80

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.

$400.00

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.

$47.52 with LA Care vs $8,109.00 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 →

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
LA Care Medicaid|> 21 $47.52 ↓ -68%
Care 1st Medicaid|> 21 $47.52 ↓ -68%
Molina Medicaid|< 21 $47.52 ↓ -68%
Kaiser Medicaid|< 21 $47.52 ↓ -68%
Kaiser Medicaid|> 21 $47.52 ↓ -68%
Partnership Health Plan Medicaid|< 21 $47.52 ↓ -68%
Partnership Health Plan Medicaid|> 21 $47.52 ↓ -68%
LA Care Medicaid|< 21 $47.52 ↓ -68%
Care 1st Medicaid|< 21 $47.52 ↓ -68%
United Commercial|Non-Options PPO $57.31 ↓ -61%
United Commercial|All Other Plans $57.31 ↓ -61%
United Commercial|HMO $57.31 ↓ -61%
United Commercial|Options PPO $57.31 ↓ -61%
BCBS - Anthem Medicaid|All Plans $62.73 ↓ -57%
Kern Health System Medicaid|> 21 $66.77 ↓ -55%
Kern Health System Medicaid|< 21 $66.77 ↓ -55%
Cigna Commercial|PPO $114.06 ↓ -22%
Cigna Commercial|All Other Plans $114.06 ↓ -22%
Health Net Medicaid|GemCare $114.52 ↓ -22%
Health Net Medicaid|Non-GemCare $154.92 ↑ +6%
Western Growers Commercial|All Plans $182.50 ↑ +24%
CHN Sun View Commercial|All Plans $237.25 ↑ +62%
BCBS - Anthem Commercial|PremerTiered $240.90 ↑ +64%
First Health Commercial|All Plans $255.50 ↑ +74%
BCBS - Anthem Commercial|Exchange $266.45 ↑ +82%
Healthsmart Commercial|All Plans $277.40 ↑ +89%
MultiPlan Commercial|All Plans $288.35 ↑ +96%
BCBS - Anthem Commercial|All Other Plans $310.25 ↑ +111%
BCBS - Anthem Commercial|MCS $365.00 ↑ +149%
Blue Shield CA Commercial|Exchange $3,891.00 ↑ +2551%
Blue Shield CA Commercial|All Other Plans $8,109.00 ↑ +5424%

Visitor-reported prices

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Tomosynthesis breast diagnostic left at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $148.40 $47.52 – $292.00
Banner Lassen Medical Center Susanville $47.91 $23.78 – $78.41
Petaluma Valley Hospital Petaluma $55.59 $13.63 – $2,570.00
Arroyo Grande Hospital Santa Maria $185.33 $47.52 – $404.74
Mark Twain Medical Center San Andreas $58.61 $22.77 – $86.24
French Hospital San Luis Obispo $69.39 $42.66 – $154.84
Queen of The Valley Medical Center Napa $76.50 $13.91 – $7,483.00
Providence St Joseph Hospital Eureka Eureka $91.29 $13.91 – $7,809.00

All California hospitals for this procedure →