Analysis tumor at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$46.77
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.
$126.06
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.
$63.03 with Western Growers vs $282.38 with Kaiser — 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $63.03 | ↑ +35% |
| BCBS - Anthem | Commercial|Exchange | $79.42 | ↑ +70% |
| CHN Sun View | Commercial|All Plans | $81.94 | ↑ +75% |
| First Health | Commercial|All Plans | $88.25 | ↑ +89% |
| Kern Health System | Medicaid|< 21 | $93.83 | ↑ +101% |
| Kern Health System | Medicaid|> 21 | $93.83 | ↑ +101% |
| BCBS - Anthem | Medicaid|> 21 | $95.79 | ↑ +105% |
| Molina | Medicaid|> 21 | $95.79 | ↑ +105% |
| Partnership Health Plan | Medicaid|> 21 | $95.79 | ↑ +105% |
| Care 1st | Medicaid|< 21 | $95.79 | ↑ +105% |
| Partnership Health Plan | Medicaid|< 21 | $95.79 | ↑ +105% |
| Kaiser | Medicaid|< 21 | $95.79 | ↑ +105% |
| Kaiser | Medicaid|> 21 | $95.79 | ↑ +105% |
| Care 1st | Medicaid|> 21 | $95.79 | ↑ +105% |
| LA Care | Medicaid|> 21 | $95.79 | ↑ +105% |
| BCBS - Anthem | Medicaid|< 21 | $95.79 | ↑ +105% |
| Molina | Medicaid|< 21 | $95.79 | ↑ +105% |
| LA Care | Medicaid|< 21 | $95.79 | ↑ +105% |
| Healthsmart | Commercial|All Plans | $95.81 | ↑ +105% |
| MultiPlan | Commercial|All Plans | $100.85 | ↑ +116% |
| BCBS - Anthem | Commercial|All Other Plans | $108.42 | ↑ +132% |
| United | Commercial|Non-Options PPO | $126.06 | ↑ +170% |
| Humana | Medicare|All Plans | $126.06 | ↑ +170% |
| Aetna | Commercial|PPO | $126.06 | ↑ +170% |
| Aetna | Medicare|All Plans | $126.06 | ↑ +170% |
| Aetna | Commercial|HMO | $126.06 | ↑ +170% |
| United | Commercial|All Other Plans | $126.06 | ↑ +170% |
| United | Commercial|HMO | $126.06 | ↑ +170% |
| United | Commercial|Options PPO | $126.06 | ↑ +170% |
| Health Net | Medicaid|GemCare | $126.06 | ↑ +170% |
| Health Net | Medicaid|Non-GemCare | $126.06 | ↑ +170% |
| Kaiser | Medicare|All Plans | $126.06 | ↑ +170% |
| BCBS - Anthem | Medicare|All Plans | $126.06 | ↑ +170% |
| BCBS - Anthem | Commercial|MCS | $126.06 | ↑ +170% |
| HPN | Medicare|All Plans | $126.06 | ↑ +170% |
| HPN | Commercial|All Plans | $138.67 | ↑ +196% |
| United | Medicare|All Plans | $217.73 | ↑ +366% |
| Blue Shield CA | Medicare|All Plans | $217.73 | ↑ +366% |
| Cigna | Commercial|PPO | $264.51 | ↑ +466% |
| Cigna | Commercial|All Other Plans | $264.51 | ↑ +466% |
| Kaiser | Commercial|All Plans | $282.38 | ↑ +504% |
Visitor-reported prices
Comments
Analysis tumor at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $46.27 | $63.03 – $264.51 |
| Mark Twain Medical Center | San Andreas | $61.34 | $23.83 – $92.10 |
| St. Joseph's Behavioral Health Center | Stockton | $71.99 | $12.61 – $100.85 |
| St. Joseph's Medical Center Stockton | Stockton | $37.07 | $26.48 – $126.06 |
| Mercy Medical Center Merced | Merced | $64.93 | $75.64 – $138.67 |
| Petaluma Valley Hospital | Petaluma | not published | $173.43 – $287.00 |
| Queen of The Valley Medical Center | Napa | not published | $241.90 – $338.44 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $219.12 – $383.79 |