Ins mark abd/pel for right perq at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$1,386.06
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.
$3,736.00
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.
$453.09 with Kaiser vs $8,736.00 with Blue Shield CA — 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 | $453.09 | ↓ -67% |
| Care 1st | Medicaid|> 21 | $453.09 | ↓ -67% |
| LA Care | Medicaid|> 21 | $453.09 | ↓ -67% |
| LA Care | Medicaid|< 21 | $453.09 | ↓ -67% |
| Molina | Medicaid|< 21 | $453.09 | ↓ -67% |
| Molina | Medicaid|> 21 | $453.09 | ↓ -67% |
| Care 1st | Medicaid|< 21 | $453.09 | ↓ -67% |
| Partnership Health Plan | Medicaid|> 21 | $453.09 | ↓ -67% |
| Partnership Health Plan | Medicaid|< 21 | $453.09 | ↓ -67% |
| BCBS - Anthem | Medicaid|> 21 | $453.09 | ↓ -67% |
| BCBS - Anthem | Medicaid|< 21 | $453.09 | ↓ -67% |
| Kaiser | Medicaid|> 21 | $453.09 | ↓ -67% |
| Kern Health System | Medicaid|> 21 | $636.59 | ↓ -54% |
| Kern Health System | Medicaid|< 21 | $636.59 | ↓ -54% |
| Health Net | Medicaid|GemCare | $1,091.95 | ↓ -21% |
| Health Net | Medicaid|Non-GemCare | $1,477.07 | ↑ +7% |
| Blue Shield CA | Medicare|All Plans | $1,738.51 | ↑ +25% |
| BCBS - Anthem | Medicare|All Plans | $1,738.51 | ↑ +25% |
| United | Medicare|All Plans | $1,738.51 | ↑ +25% |
| Kaiser | Medicare|All Plans | $1,738.51 | ↑ +25% |
| Humana | Medicare|All Plans | $1,738.51 | ↑ +25% |
| Aetna | Medicare|All Plans | $1,738.51 | ↑ +25% |
| HPN | Medicare|All Plans | $1,738.51 | ↑ +25% |
| HPN | Commercial|All Plans | $1,912.36 | ↑ +38% |
| Western Growers | Commercial|All Plans | $2,054.80 | ↑ +48% |
| CHN Sun View | Commercial|All Plans | $2,428.40 | ↑ +75% |
| First Health | Commercial|All Plans | $2,615.20 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $2,839.36 | ↑ +105% |
| United | Commercial|Options PPO | $2,914.08 | ↑ +110% |
| United | Commercial|All Other Plans | $2,914.08 | ↑ +110% |
| United | Commercial|Non-Options PPO | $2,951.44 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $2,988.80 | ↑ +116% |
| United | Commercial|HMO | $3,511.84 | ↑ +153% |
| Aetna | Commercial|HMO | $3,573.00 | ↑ +158% |
| Aetna | Commercial|PPO | $3,747.00 | ↑ +170% |
| Kaiser | Commercial|All Plans | $3,894.26 | ↑ +181% |
| Health Net | Commercial|Community Care PPO | $4,157.00 | ↑ +200% |
| Health Net | Commercial|Care Product | $4,943.00 | ↑ +257% |
| Blue Shield CA | Commercial|Exchange | $5,473.00 | ↑ +295% |
| Health Net | Commercial|FFS | $5,909.00 | ↑ +326% |
| Blue Shield CA | Commercial|All Other Plans | $8,736.00 | ↑ +530% |
Visitor-reported prices
Comments
Ins mark abd/pel for right perq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $1,371.12 | $453.09 – $2,951.44 |
| Arroyo Grande Hospital | Santa Maria | $1,888.34 | $453.09 – $4,036.62 |
| French Hospital | San Luis Obispo | $1,614.65 | $453.09 – $3,838.66 |
| Providence St Joseph Hospital Eureka | Eureka | $2,338.86 | $1,780.22 – $11,036.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,693.74 | $453.09 – $2,309.16 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,393.43 | $1,925.97 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,139.36 | $1,513.19 – $9,779.00 |
| Mercy Medical Center Merced | Merced | $2,220.68 | $453.09 – $1,838.43 |