Bx breast 1st lesion mr imag at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$1,035.47
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.
?
What you pay up front if you don't use insurance.
$2,791.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$166.42 with Kaiser vs $8,247.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $166.42 | ↓ -84% |
| Care 1st | Medicaid|> 21 | $166.42 | ↓ -84% |
| BCBS - Anthem | Medicaid|> 21 | $166.42 | ↓ -84% |
| Kaiser | Medicaid|< 21 | $166.42 | ↓ -84% |
| BCBS - Anthem | Medicaid|< 21 | $166.42 | ↓ -84% |
| LA Care | Medicaid|> 21 | $166.42 | ↓ -84% |
| Partnership Health Plan | Medicaid|< 21 | $166.42 | ↓ -84% |
| LA Care | Medicaid|< 21 | $166.42 | ↓ -84% |
| Care 1st | Medicaid|< 21 | $166.42 | ↓ -84% |
| Molina | Medicaid|< 21 | $166.42 | ↓ -84% |
| Molina | Medicaid|> 21 | $166.42 | ↓ -84% |
| Partnership Health Plan | Medicaid|> 21 | $166.42 | ↓ -84% |
| Kern Health System | Medicaid|< 21 | $233.82 | ↓ -77% |
| Kern Health System | Medicaid|> 21 | $233.82 | ↓ -77% |
| Health Net | Medicaid|GemCare | $401.07 | ↓ -61% |
| Health Net | Medicaid|Non-GemCare | $542.53 | ↓ -48% |
| Western Growers | Commercial|All Plans | $1,413.50 | ↑ +37% |
| CHN Sun View | Commercial|All Plans | $1,670.50 | ↑ +61% |
| First Health | Commercial|All Plans | $1,799.00 | ↑ +74% |
| Healthsmart | Commercial|All Plans | $1,953.20 | ↑ +89% |
| United | Commercial|Options PPO | $2,004.60 | ↑ +94% |
| United | Commercial|All Other Plans | $2,004.60 | ↑ +94% |
| United | Commercial|Non-Options PPO | $2,030.30 | ↑ +96% |
| MultiPlan | Commercial|All Plans | $2,056.00 | ↑ +99% |
| HPN | Medicare|All Plans | $2,058.68 | ↑ +99% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↑ +99% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↑ +99% |
| United | Medicare|All Plans | $2,058.68 | ↑ +99% |
| Aetna | Medicare|All Plans | $2,058.68 | ↑ +99% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↑ +99% |
| Humana | Medicare|All Plans | $2,058.68 | ↑ +99% |
| HPN | Commercial|All Plans | $2,264.55 | ↑ +119% |
| United | Commercial|HMO | $2,415.80 | ↑ +133% |
| Blue Shield CA | Commercial|Exchange | $3,873.00 | ↑ +274% |
| BCBS - Anthem | Commercial|Exchange | $4,460.00 | ↑ +331% |
| Kaiser | Commercial|All Plans | $4,611.44 | ↑ +345% |
| Health Net | Commercial|Community Care PPO | $4,981.00 | ↑ +381% |
| Aetna | Commercial|HMO | $5,803.00 | ↑ +460% |
| Health Net | Commercial|Care Product | $5,921.00 | ↑ +472% |
| Aetna | Commercial|PPO | $6,088.00 | ↑ +488% |
| BCBS - Anthem | Commercial|All Other Plans | $6,109.00 | ↑ +490% |
| Blue Shield CA | Commercial|All Other Plans | $6,182.00 | ↑ +497% |
| Health Net | Commercial|FFS | $7,080.00 | ↑ +584% |
| BCBS - Anthem | Commercial|MCS | $8,247.00 | ↑ +696% |
Visitor-reported prices
Comments
Bx breast 1st lesion mr imag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $1,024.30 | $166.42 – $2,058.68 |
| Arroyo Grande Hospital | Santa Maria | $5,643.61 | $166.42 – $12,397.00 |
| French Hospital | San Luis Obispo | $4,768.29 | $166.42 – $4,435.48 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,703.33 | $0.80 – $2,507.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,808.57 | $2,298.14 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,090.24 | $1,805.60 – $6,920.00 |
| Mercy Medical Center Merced | Merced | $2,166.09 | $166.42 – $1,811.00 |