Vaccine tdap >=7 years im at Bakersfield Memorial Hospital
420 34th St., Bakersfield, CA · CommonSpirit Health · · NPI 1467538520
$78.18
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.
$213.00
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.
$56.88 with BCBS - Anthem vs $141.91 with Health Net — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $56.88 | ↓ -27% |
| United | Commercial|Non-Options PPO | $59.66 | ↓ -24% |
| Kern Health System | Medicaid|> 21 | $61.16 | ↓ -22% |
| Kern Health System | Medicaid|< 21 | $61.16 | ↓ -22% |
| United | Commercial|HMO | $63.74 | ↓ -18% |
| United | Commercial|Options PPO | $63.74 | ↓ -18% |
| United | Commercial|All Other Plans | $64.47 | ↓ -18% |
| CHN Sun View | Commercial|All Plans | $67.60 | ↓ -14% |
| Cigna | Commercial|PPO | $69.29 | ↓ -11% |
| Cigna | Commercial|All Other Plans | $69.29 | ↓ -11% |
| Blue Shield CA | Commercial|All Other Plans | $71.96 | ↓ -8% |
| Blue Shield CA | Commercial|Exchange | $71.96 | ↓ -8% |
| Health Net | Commercial|Exchange | $73.60 | ↓ -6% |
| Western Growers | Commercial|All Plans | $84.50 | ↑ +8% |
| HPN | Commercial|All Plans | $86.19 | ↑ +10% |
| BCBS - Anthem | Commercial|Exchange | $87.37 | ↑ +12% |
| Health Net | Commercial|Care Product | $87.48 | ↑ +12% |
| BCBS - Anthem | Commercial|All Other Plans | $101.60 | ↑ +30% |
| Health Net | Medicaid|GemCare | $104.91 | ↑ +34% |
| Health Net | Commercial|All Other Plans | $104.97 | ↑ +34% |
| First Health | Commercial|All Plans | $118.30 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $128.44 | ↑ +64% |
| MultiPlan | Commercial|All Plans | $133.51 | ↑ +71% |
| BCBS - Anthem | Commercial|PremerTiered | $136.89 | ↑ +75% |
| BCBS - Anthem | Commercial|MCS | $137.23 | ↑ +76% |
| Health Net | Medicaid|Non-GemCare | $141.91 | ↑ +82% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $79.03 | $29.33 – $135.20 |
| St. John's Camarillo Hospital | Camarillo | $70.08 | $43.20 – $124.80 |
| Petaluma Valley Hospital | Petaluma | $212.65 | $53.65 – $84.00 |
| Arroyo Grande Hospital | Santa Maria | $228.56 | $40.11 – $523.32 |
| Mark Twain Medical Center | San Andreas | $151.75 | $58.95 – $223.30 |
| French Hospital | San Luis Obispo | $209.33 | $40.11 – $523.32 |
| Queen of The Valley Medical Center | Napa | $200.54 | $58.07 – $84.00 |
| Providence St Joseph Hospital Eureka | Eureka | $200.54 | $69.27 – $84.00 |