Quant diff pulm perf and vent w/imaging at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$457.82
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.
$1,234.00
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.
$271.30 with Care 1st vs $2,565.73 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 |
|---|---|---|---|
| Care 1st | Medicaid|< 21 | $271.30 | ↓ -41% |
| BCBS - Anthem | Medicaid|< 21 | $271.30 | ↓ -41% |
| Kaiser | Medicaid|> 21 | $271.30 | ↓ -41% |
| Kaiser | Medicaid|< 21 | $271.30 | ↓ -41% |
| LA Care | Medicaid|< 21 | $271.30 | ↓ -41% |
| LA Care | Medicaid|> 21 | $271.30 | ↓ -41% |
| Partnership Health Plan | Medicaid|< 21 | $271.30 | ↓ -41% |
| Care 1st | Medicaid|> 21 | $271.30 | ↓ -41% |
| BCBS - Anthem | Medicaid|> 21 | $271.30 | ↓ -41% |
| Molina | Medicaid|< 21 | $271.30 | ↓ -41% |
| Molina | Medicaid|> 21 | $271.30 | ↓ -41% |
| Partnership Health Plan | Medicaid|> 21 | $271.30 | ↓ -41% |
| Kern Health System | Medicaid|> 21 | $381.18 | ↓ -17% |
| Kern Health System | Medicaid|< 21 | $381.18 | ↓ -17% |
| Western Growers | Commercial|All Plans | $617.00 | ↑ +35% |
| Health Net | Medicaid|GemCare | $653.83 | ↑ +43% |
| Blue Shield CA | Medicare|All Plans | $683.93 | ↑ +49% |
| Humana | Medicare|All Plans | $683.93 | ↑ +49% |
| Aetna | Medicare|All Plans | $683.93 | ↑ +49% |
| United | Medicare|All Plans | $683.93 | ↑ +49% |
| Kaiser | Medicare|All Plans | $683.93 | ↑ +49% |
| BCBS - Anthem | Medicare|All Plans | $683.93 | ↑ +49% |
| HPN | Medicare|All Plans | $683.93 | ↑ +49% |
| HPN | Commercial|All Plans | $752.32 | ↑ +64% |
| BCBS - Anthem | Commercial|Exchange | $777.42 | ↑ +70% |
| CHN Sun View | Commercial|All Plans | $802.10 | ↑ +75% |
| First Health | Commercial|All Plans | $863.80 | ↑ +89% |
| Health Net | Medicaid|Non-GemCare | $884.44 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $937.84 | ↑ +105% |
| MultiPlan | Commercial|All Plans | $987.20 | ↑ +116% |
| BCBS - Anthem | Commercial|All Other Plans | $1,061.24 | ↑ +132% |
| Aetna | Commercial|HMO | $1,098.09 | ↑ +140% |
| United | Commercial|Non-Options PPO | $1,101.15 | ↑ +141% |
| United | Commercial|All Other Plans | $1,101.15 | ↑ +141% |
| United | Commercial|Options PPO | $1,101.15 | ↑ +141% |
| United | Commercial|HMO | $1,101.15 | ↑ +141% |
| Aetna | Commercial|PPO | $1,152.61 | ↑ +152% |
| BCBS - Anthem | Commercial|MCS | $1,234.00 | ↑ +170% |
| Kaiser | Commercial|All Plans | $1,532.00 | ↑ +235% |
| Cigna | Commercial|PPO | $2,565.73 | ↑ +460% |
| Cigna | Commercial|All Other Plans | $2,565.73 | ↑ +460% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $452.88 | $271.30 – $2,565.73 |
| Banner Lassen Medical Center | Susanville | $829.36 | $107.65 – $1,198.92 |
| Mark Twain Medical Center | San Andreas | $3,372.63 | $271.30 – $4,848.06 |
| Queen of The Valley Medical Center | Napa | $4,385.49 | $755.17 – $2,213.99 |
| Providence St Joseph Hospital Eureka | Eureka | $3,731.67 | $698.35 – $2,421.05 |
| St. Joseph's Medical Center Stockton | Stockton | $4,641.38 | $271.30 – $6,473.08 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,410.72 | $593.60 – $1,291.95 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,287.59 | $368.97 – $1,621.90 |