Consultation/report referred slides prepared elsewhere at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$55.65
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.
$150.00
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.
$40.61 with United vs $241.65 with Cigna — 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 |
|---|---|---|---|
| United | Commercial|Options PPO | $40.61 | ↓ -27% |
| United | Commercial|Non-Options PPO | $40.61 | ↓ -27% |
| United | Commercial|All Other Plans | $40.61 | ↓ -27% |
| United | Commercial|HMO | $40.61 | ↓ -27% |
| Western Growers | Commercial|All Plans | $41.50 | ↓ -25% |
| Blue Shield CA | Medicare|All Plans | $49.87 | ↓ -10% |
| Aetna | Medicare|All Plans | $49.87 | ↓ -10% |
| BCBS - Anthem | Medicare|All Plans | $49.87 | ↓ -10% |
| Kaiser | Medicare|All Plans | $49.87 | ↓ -10% |
| HPN | Medicare|All Plans | $49.87 | ↓ -10% |
| Humana | Medicare|All Plans | $49.87 | ↓ -10% |
| United | Medicare|All Plans | $49.87 | ↓ -10% |
| BCBS - Anthem | Commercial|Exchange | $52.29 | ↓ -6% |
| CHN Sun View | Commercial|All Plans | $53.95 | ↓ -3% |
| HPN | Commercial|All Plans | $54.86 | ↓ -1% |
| First Health | Commercial|All Plans | $58.10 | ↑ +4% |
| Healthsmart | Commercial|All Plans | $63.08 | ↑ +13% |
| MultiPlan | Commercial|All Plans | $66.40 | ↑ +19% |
| BCBS - Anthem | Commercial|All Other Plans | $71.38 | ↑ +28% |
| Kaiser | Medicaid|< 21 | $83.00 | ↑ +49% |
| Kaiser | Medicaid|> 21 | $83.00 | ↑ +49% |
| LA Care | Medicaid|> 21 | $83.00 | ↑ +49% |
| Health Net | Medicaid|GemCare | $83.00 | ↑ +49% |
| Health Net | Medicaid|Non-GemCare | $83.00 | ↑ +49% |
| Molina | Medicaid|< 21 | $83.00 | ↑ +49% |
| Kern Health System | Medicaid|> 21 | $83.00 | ↑ +49% |
| LA Care | Medicaid|< 21 | $83.00 | ↑ +49% |
| Molina | Medicaid|> 21 | $83.00 | ↑ +49% |
| Aetna | Commercial|HMO | $83.00 | ↑ +49% |
| BCBS - Anthem | Commercial|MCS | $83.00 | ↑ +49% |
| BCBS - Anthem | Medicaid|< 21 | $83.00 | ↑ +49% |
| BCBS - Anthem | Medicaid|> 21 | $83.00 | ↑ +49% |
| Aetna | Commercial|PPO | $83.00 | ↑ +49% |
| Partnership Health Plan | Medicaid|< 21 | $83.00 | ↑ +49% |
| Partnership Health Plan | Medicaid|> 21 | $83.00 | ↑ +49% |
| Care 1st | Medicaid|< 21 | $83.00 | ↑ +49% |
| Care 1st | Medicaid|> 21 | $83.00 | ↑ +49% |
| Kern Health System | Medicaid|< 21 | $83.00 | ↑ +49% |
| Kaiser | Commercial|All Plans | $111.71 | ↑ +101% |
| Cigna | Commercial|All Other Plans | $241.65 | ↑ +334% |
| Cigna | Commercial|PPO | $241.65 | ↑ +334% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $55.05 | $40.61 – $241.65 |
| St. John's Camarillo Hospital | Camarillo | $63.08 | $38.88 – $223.12 |
| Petaluma Valley Hospital | Petaluma | $240.72 | $50.33 – $319.03 |
| Arroyo Grande Hospital | Santa Maria | $256.33 | $40.61 – $216.67 |
| Mark Twain Medical Center | San Andreas | $83.92 | $32.60 – $123.48 |
| French Hospital | San Luis Obispo | $234.77 | $32.62 – $254.72 |
| Queen of The Valley Medical Center | Napa | $386.07 | $53.03 – $403.17 |
| Providence St Joseph Hospital Eureka | Eureka | $516.63 | $48.04 – $457.20 |