Cptr ophth dx img post segmt at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$64.19
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.
$173.00
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.
$37.01 with Care 1st vs $4,974.00 with United — 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 |
|---|---|---|---|
| Care 1st | Medicaid|< 21 | $37.01 | ↓ -42% |
| Care 1st | Medicaid|> 21 | $37.01 | ↓ -42% |
| Molina | Medicaid|< 21 | $37.01 | ↓ -42% |
| Molina | Medicaid|> 21 | $37.01 | ↓ -42% |
| Kaiser | Medicaid|< 21 | $37.01 | ↓ -42% |
| Kaiser | Medicaid|> 21 | $37.01 | ↓ -42% |
| BCBS - Anthem | Medicaid|< 21 | $37.01 | ↓ -42% |
| BCBS - Anthem | Medicaid|> 21 | $37.01 | ↓ -42% |
| Partnership Health Plan | Medicaid|< 21 | $37.01 | ↓ -42% |
| Partnership Health Plan | Medicaid|> 21 | $37.01 | ↓ -42% |
| LA Care | Medicaid|< 21 | $37.01 | ↓ -42% |
| LA Care | Medicaid|> 21 | $37.01 | ↓ -42% |
| Kern Health System | Medicaid|< 21 | $57.46 | ↓ -10% |
| Kern Health System | Medicaid|> 21 | $57.46 | ↓ -10% |
| United | Medicare|All Plans | $75.47 | ↑ +18% |
| Kaiser | Medicare|All Plans | $75.47 | ↑ +18% |
| BCBS - Anthem | Medicare|All Plans | $75.47 | ↑ +18% |
| HPN | Medicare|All Plans | $75.47 | ↑ +18% |
| Blue Shield CA | Medicare|All Plans | $75.47 | ↑ +18% |
| Humana | Medicare|All Plans | $75.47 | ↑ +18% |
| Aetna | Medicare|All Plans | $75.47 | ↑ +18% |
| HPN | Commercial|All Plans | $83.02 | ↑ +29% |
| Western Growers | Commercial|All Plans | $95.15 | ↑ +48% |
| Health Net | Medicaid|GemCare | $98.57 | ↑ +54% |
| CHN Sun View | Commercial|All Plans | $112.45 | ↑ +75% |
| First Health | Commercial|All Plans | $121.10 | ↑ +89% |
| Aetna | Commercial|HMO | $122.83 | ↑ +91% |
| Aetna | Commercial|PPO | $129.75 | ↑ +102% |
| Healthsmart | Commercial|All Plans | $131.48 | ↑ +105% |
| Health Net | Medicaid|Non-GemCare | $133.33 | ↑ +108% |
| MultiPlan | Commercial|All Plans | $138.40 | ↑ +116% |
| Cigna | Commercial|All Other Plans | $141.86 | ↑ +121% |
| Cigna | Commercial|PPO | $141.86 | ↑ +121% |
| Kaiser | Commercial|All Plans | $169.05 | ↑ +163% |
| Blue Shield CA | Commercial|Exchange | $894.00 | ↑ +1293% |
| Blue Shield CA | Commercial|All Other Plans | $1,427.00 | ↑ +2123% |
| United | Commercial|Non-Options PPO | $3,060.00 | ↑ +4667% |
| United | Commercial|All Other Plans | $3,517.00 | ↑ +5379% |
| United | Commercial|Options PPO | $3,517.00 | ↑ +5379% |
| United | Commercial|HMO | $4,974.00 | ↑ +7649% |
Visitor-reported prices
Comments
Cptr ophth dx img post segmt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $63.50 | $37.01 – $141.86 |
| St. Joseph's Medical Center Stockton | Stockton | $100.85 | $37.01 – $281.26 |
| Mercy Medical Center Merced | Merced | $91.16 | $37.01 – $166.38 |
| Petaluma Valley Hospital | Petaluma | not published | $79.50 – $593.00 |
| Queen of The Valley Medical Center | Napa | not published | $83.76 – $1,727.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $75.87 – $1,802.00 |
| Healdsburg Hospital | Healdsburg | not published | $79.48 – $721.00 |
| Redwood Memorial Hospital | Fortuna | not published | $1,847.00 – $1,847.00 |