Postop dress & 1 cast chg bk at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$3,424.33
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.
$9,230.00
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.
$958.25 with Care 1st vs $6,745.00 with BCBS - Anthem — 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 | $958.25 | ↓ -72% |
| Care 1st | Medicaid|> 21 | $958.25 | ↓ -72% |
| Molina | Medicaid|< 21 | $958.25 | ↓ -72% |
| Molina | Medicaid|> 21 | $958.25 | ↓ -72% |
| Kaiser | Medicaid|< 21 | $958.25 | ↓ -72% |
| Kaiser | Medicaid|> 21 | $958.25 | ↓ -72% |
| BCBS - Anthem | Medicaid|< 21 | $958.25 | ↓ -72% |
| BCBS - Anthem | Medicaid|> 21 | $958.25 | ↓ -72% |
| Partnership Health Plan | Medicaid|< 21 | $958.25 | ↓ -72% |
| Partnership Health Plan | Medicaid|> 21 | $958.25 | ↓ -72% |
| LA Care | Medicaid|< 21 | $958.25 | ↓ -72% |
| LA Care | Medicaid|> 21 | $958.25 | ↓ -72% |
| Kern Health System | Medicaid|< 21 | $1,346.34 | ↓ -61% |
| Kern Health System | Medicaid|> 21 | $1,346.34 | ↓ -61% |
| Health Net | Medicaid|GemCare | $2,201.00 | ↓ -36% |
| Health Net | Medicaid|Non-GemCare | $2,201.00 | ↓ -36% |
| Health Net | Commercial|Community Care PPO | $2,769.00 | ↓ -19% |
| CHN Sun View | Commercial|All Plans | $2,840.00 | ↓ -17% |
| Health Net | Commercial|Care Product | $3,124.00 | ↓ -9% |
| United | Commercial|Options PPO | $3,408.00 | ↓ -0% |
| United | Commercial|All Other Plans | $3,408.00 | ↓ -0% |
| United | Commercial|Non-Options PPO | $3,479.00 | ↑ +2% |
| Western Growers | Commercial|All Plans | $3,550.00 | ↑ +4% |
| United | Commercial|HMO | $3,550.00 | ↑ +4% |
| HPN | Commercial|All Plans | $3,621.00 | ↑ +6% |
| Health Net | Commercial|FFS | $3,763.00 | ↑ +10% |
| BCBS - Anthem | Commercial|Exchange | $4,899.00 | ↑ +43% |
| Blue Shield CA | Commercial|Exchange | $4,899.00 | ↑ +43% |
| First Health | Commercial|All Plans | $4,970.00 | ↑ +45% |
| Cigna | Commercial|PPO | $5,254.00 | ↑ +53% |
| Cigna | Commercial|All Other Plans | $5,254.00 | ↑ +53% |
| Healthsmart | Commercial|All Plans | $5,396.00 | ↑ +58% |
| MultiPlan | Commercial|All Plans | $5,680.00 | ↑ +66% |
| Blue Shield CA | Commercial|All Other Plans | $6,248.00 | ↑ +82% |
| Aetna | Commercial|HMO | $6,390.00 | ↑ +87% |
| Aetna | Commercial|PPO | $6,745.00 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $6,745.00 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $6,745.00 | ↑ +97% |
Visitor-reported prices
Comments
Postop dress & 1 cast chg bk at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $3,387.41 | $958.25 – $6,887.00 |
| Petaluma Valley Hospital | Petaluma | $3,267.37 | not published |
| Queen of The Valley Medical Center | Napa | $2,934.39 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $2,533.77 | not published |
| Redwood Memorial Hospital | Fortuna | $2,533.77 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $1,899.54 | $958.25 – $4,970.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,267.37 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,761.78 | not published |