Ins lv lead exist pm/icd 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.
$279.60 with Kaiser vs $29,785.84 with Kaiser — 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $279.60 | — |
| Care 1st | Medicaid|> 21 | $279.60 | — |
| LA Care | Medicaid|> 21 | $279.60 | — |
| LA Care | Medicaid|< 21 | $279.60 | — |
| BCBS - Anthem | Medicaid|< 21 | $279.60 | — |
| Kaiser | Medicaid|< 21 | $279.60 | — |
| Partnership Health Plan | Medicaid|> 21 | $279.60 | — |
| Partnership Health Plan | Medicaid|< 21 | $279.60 | — |
| Care 1st | Medicaid|< 21 | $279.60 | — |
| Molina | Medicaid|< 21 | $279.60 | — |
| Molina | Medicaid|> 21 | $279.60 | — |
| BCBS - Anthem | Medicaid|> 21 | $279.60 | — |
| Kern Health System | Medicaid|> 21 | $392.84 | — |
| Kern Health System | Medicaid|< 21 | $392.84 | — |
| Health Net | Medicaid|GemCare | $673.84 | — |
| Health Net | Medicaid|Non-GemCare | $911.50 | — |
| Blue Shield CA | Commercial|Exchange | $3,873.00 | — |
| Aetna | Commercial|HMO | $5,803.00 | — |
| Aetna | Commercial|PPO | $6,088.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $6,182.00 | — |
| BCBS - Anthem | Commercial|Exchange | $8,283.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $11,346.00 | — |
| Health Net | Commercial|Community Care PPO | $12,306.00 | — |
| HPN | Medicare|All Plans | $13,297.25 | — |
| Blue Shield CA | Medicare|All Plans | $13,297.25 | — |
| United | Medicare|All Plans | $13,297.25 | — |
| Aetna | Medicare|All Plans | $13,297.25 | — |
| Kaiser | Medicare|All Plans | $13,297.25 | — |
| BCBS - Anthem | Medicare|All Plans | $13,297.25 | — |
| Humana | Medicare|All Plans | $13,297.25 | — |
| HPN | Commercial|All Plans | $14,626.98 | — |
| Health Net | Commercial|Care Product | $14,630.00 | — |
| BCBS - Anthem | Commercial|MCS | $15,317.00 | — |
| Health Net | Commercial|FFS | $17,495.00 | — |
| Kaiser | Commercial|All Plans | $29,785.84 | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Western Growers | Commercial|All Plans | not published by hospital | — |
| CHN Sun View | Commercial|All Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $22,624.45 | $279.60 – $48,701.13 |
| St. John's Camarillo Hospital | Camarillo | $15,211.74 | $423.01 – $27,089.40 |
| Arroyo Grande Hospital | Santa Maria | $22,068.97 | $279.60 – $50,531.74 |
| French Hospital | San Luis Obispo | $20,566.68 | $279.60 – $51,416.68 |
| Queen of The Valley Medical Center | Napa | $33,111.75 | $7,483.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,084.60 | $279.60 – $25,956.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $15,113.85 | $2,995.00 – $20,488.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,028.00 | $6,920.00 – $24,869.57 |