App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
not published by hospital
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.
not published by hospital
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.
$23.25 with LA Care vs $5,890.00 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 →
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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 |
|---|---|---|---|
| LA Care | Medicaid|> 21 | $23.25 | — |
| Care 1st | Medicaid|> 21 | $23.25 | — |
| Molina | Medicaid|< 21 | $23.25 | — |
| Molina | Medicaid|> 21 | $23.25 | — |
| Kaiser | Medicaid|< 21 | $23.25 | — |
| Kaiser | Medicaid|> 21 | $23.25 | — |
| BCBS - Anthem | Medicaid|< 21 | $23.25 | — |
| BCBS - Anthem | Medicaid|> 21 | $23.25 | — |
| Partnership Health Plan | Medicaid|< 21 | $23.25 | — |
| Partnership Health Plan | Medicaid|> 21 | $23.25 | — |
| LA Care | Medicaid|< 21 | $23.25 | — |
| Care 1st | Medicaid|< 21 | $23.25 | — |
| Kern Health System | Medicaid|> 21 | $36.28 | — |
| Kern Health System | Medicaid|< 21 | $36.28 | — |
| Health Net | Medicaid|GemCare | $62.23 | — |
| Health Net | Medicaid|Non-GemCare | $84.17 | — |
| Blue Shield CA | Commercial|Exchange | $894.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $1,427.00 | — |
| BCBS - Anthem | Commercial|Exchange | $3,185.00 | — |
| Aetna | Commercial|HMO | $3,573.00 | — |
| Aetna | Commercial|PPO | $3,747.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $4,363.00 | — |
| BCBS - Anthem | Commercial|MCS | $5,890.00 | — |
| United | Commercial|Options PPO | not published by hospital | — |
| Western Growers | Commercial|All Plans | not published by hospital | — |
| CHN Sun View | Commercial|All Plans | not published by hospital | — |
| HPN | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $229.75 | $23.25 – $570.24 |
| St. John's Camarillo Hospital | Camarillo | $435.34 | $28.60 – $830.00 |
| Mark Twain Medical Center | San Andreas | $47.96 | $17.86 – $67.62 |
| Healdsburg Hospital | Healdsburg | $1,760.52 | $721.00 – $3,982.87 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $281.75 | $353.00 – $4,776.00 |
| Providence Saint Joseph Medical Center | Burbank | $124.60 | $353.00 – $4,751.00 |
| Providence St Joseph Hospital Orange | Orange | $532.32 | $1,394.00 – $11,456.00 |
| Mercy Medical Center Redding | Redding | $119.15 | $32.21 – $230.30 |