Established Patient Office Visit (level 1) at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$86.08
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.
$232.00
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.
$21.37 with LA Care vs $232.00 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 |
|---|---|---|---|
| LA Care | Medicaid|> 21 | $21.37 | ↓ -75% |
| Care 1st | Medicaid|> 21 | $21.37 | ↓ -75% |
| Molina | Medicaid|< 21 | $21.37 | ↓ -75% |
| Molina | Medicaid|> 21 | $21.37 | ↓ -75% |
| Kaiser | Medicaid|< 21 | $21.37 | ↓ -75% |
| Kaiser | Medicaid|> 21 | $21.37 | ↓ -75% |
| BCBS - Anthem | Medicaid|< 21 | $21.37 | ↓ -75% |
| BCBS - Anthem | Medicaid|> 21 | $21.37 | ↓ -75% |
| Partnership Health Plan | Medicaid|< 21 | $21.37 | ↓ -75% |
| Partnership Health Plan | Medicaid|> 21 | $21.37 | ↓ -75% |
| LA Care | Medicaid|< 21 | $21.37 | ↓ -75% |
| Care 1st | Medicaid|< 21 | $21.37 | ↓ -75% |
| Kern Health System | Medicaid|< 21 | $30.02 | ↓ -65% |
| Kern Health System | Medicaid|> 21 | $30.02 | ↓ -65% |
| Western Growers | Commercial|All Plans | $49.50 | ↓ -42% |
| Health Net | Medicaid|GemCare | $51.50 | ↓ -40% |
| BCBS - Anthem | Commercial|Exchange | $62.37 | ↓ -28% |
| CHN Sun View | Commercial|All Plans | $64.35 | ↓ -25% |
| First Health | Commercial|All Plans | $69.30 | ↓ -19% |
| Health Net | Medicaid|Non-GemCare | $69.67 | ↓ -19% |
| Healthsmart | Commercial|All Plans | $75.24 | ↓ -13% |
| United | Commercial|Options PPO | $77.22 | ↓ -10% |
| United | Commercial|All Other Plans | $77.22 | ↓ -10% |
| United | Commercial|Non-Options PPO | $78.21 | ↓ -9% |
| MultiPlan | Commercial|All Plans | $79.20 | ↓ -8% |
| BCBS - Anthem | Commercial|All Other Plans | $85.14 | ↓ -1% |
| United | Commercial|HMO | $93.06 | ↑ +8% |
| BCBS - Anthem | Commercial|MCS | $99.00 | ↑ +15% |
| Blue Shield CA | Commercial|All Other Plans | $99.00 | ↑ +15% |
| Blue Shield CA | Commercial|Exchange | $99.00 | ↑ +15% |
| Cigna | Commercial|PPO | $232.00 | ↑ +170% |
| Cigna | Commercial|All Other Plans | $232.00 | ↑ +170% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $93.59 | $21.37 – $232.00 |
| St. John's Camarillo Hospital | Camarillo | $500.91 | $12.38 – $204.18 |
| Banner Lassen Medical Center | Susanville | $290.87 | $19.80 – $150.35 |
| Arroyo Grande Hospital | Santa Maria | $145.10 | $17.21 – $232.00 |
| Mark Twain Medical Center | San Andreas | $51.95 | $3.11 – $12.00 |
| French Hospital | San Luis Obispo | $112.90 | $17.21 – $234.00 |
| Healdsburg Hospital | Healdsburg | $155.55 | not published |
| Redwood Memorial Hospital | Fortuna | $297.84 | not published |