New Patient Office Visit (level 4) at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$178.08
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.
$480.00
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.
$111.00 with Blue Shield CA vs $9,707.00 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|Exchange | $111.00 | ↓ -38% |
| Care 1st | Medicaid|> 21 | $122.74 | ↓ -31% |
| LA Care | Medicaid|> 21 | $122.74 | ↓ -31% |
| Molina | Medicaid|< 21 | $122.74 | ↓ -31% |
| Molina | Medicaid|> 21 | $122.74 | ↓ -31% |
| Kaiser | Medicaid|< 21 | $122.74 | ↓ -31% |
| Kaiser | Medicaid|> 21 | $122.74 | ↓ -31% |
| BCBS - Anthem | Medicaid|< 21 | $122.74 | ↓ -31% |
| BCBS - Anthem | Medicaid|> 21 | $122.74 | ↓ -31% |
| Partnership Health Plan | Medicaid|< 21 | $122.74 | ↓ -31% |
| Partnership Health Plan | Medicaid|> 21 | $122.74 | ↓ -31% |
| LA Care | Medicaid|< 21 | $122.74 | ↓ -31% |
| Care 1st | Medicaid|< 21 | $122.74 | ↓ -31% |
| Kern Health System | Medicaid|> 21 | $172.45 | ↓ -3% |
| Kern Health System | Medicaid|< 21 | $172.45 | ↓ -3% |
| Blue Shield CA | Commercial|All Other Plans | $176.00 | ↓ -1% |
| Western Growers | Commercial|All Plans | $240.00 | ↑ +35% |
| Health Net | Medicaid|GemCare | $295.80 | ↑ +66% |
| CHN Sun View | Commercial|All Plans | $312.00 | ↑ +75% |
| First Health | Commercial|All Plans | $336.00 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $364.80 | ↑ +105% |
| United | Commercial|Non-Options PPO | $379.20 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $384.00 | ↑ +116% |
| Health Net | Medicaid|Non-GemCare | $400.13 | ↑ +125% |
| United | Commercial|HMO | $9,122.00 | ↑ +5022% |
| United | Commercial|All Other Plans | $9,707.00 | ↑ +5351% |
| United | Commercial|Options PPO | $9,707.00 | ↑ +5351% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $208.83 | $104.00 – $314.82 |
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,667.98 | $231.65 – $548.05 |
| Arroyo Grande Hospital | Santa Maria | $1,043.90 | $98.83 – $454.00 |
| Mark Twain Medical Center | San Andreas | $291.05 | $58.73 – $222.46 |
| French Hospital | San Luis Obispo | $725.20 | $98.01 – $355.74 |
| Healdsburg Hospital | Healdsburg | $633.42 | not published |
| Redwood Memorial Hospital | Fortuna | $150.96 | not published |