Quant diff pulm perf w/imaging at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$279.00
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.
$752.00
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.
$177.59 with BCBS - Anthem vs $1,976.45 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $177.59 | ↓ -36% |
| Molina | Medicaid|> 21 | $177.59 | ↓ -36% |
| LA Care | Medicaid|> 21 | $177.59 | ↓ -36% |
| Partnership Health Plan | Medicaid|> 21 | $177.59 | ↓ -36% |
| Partnership Health Plan | Medicaid|< 21 | $177.59 | ↓ -36% |
| Care 1st | Medicaid|< 21 | $177.59 | ↓ -36% |
| BCBS - Anthem | Medicaid|< 21 | $177.59 | ↓ -36% |
| Kaiser | Medicaid|> 21 | $177.59 | ↓ -36% |
| LA Care | Medicaid|< 21 | $177.59 | ↓ -36% |
| Kaiser | Medicaid|< 21 | $177.59 | ↓ -36% |
| Care 1st | Medicaid|> 21 | $177.59 | ↓ -36% |
| Molina | Medicaid|< 21 | $177.59 | ↓ -36% |
| Kern Health System | Medicaid|< 21 | $249.51 | ↓ -11% |
| Kern Health System | Medicaid|> 21 | $249.51 | ↓ -11% |
| Western Growers | Commercial|All Plans | $376.00 | ↑ +35% |
| Health Net | Medicaid|GemCare | $427.99 | ↑ +53% |
| BCBS - Anthem | Commercial|Exchange | $473.76 | ↑ +70% |
| CHN Sun View | Commercial|All Plans | $488.80 | ↑ +75% |
| Blue Shield CA | Medicare|All Plans | $510.57 | ↑ +83% |
| Humana | Medicare|All Plans | $510.57 | ↑ +83% |
| Aetna | Medicare|All Plans | $510.57 | ↑ +83% |
| United | Medicare|All Plans | $510.57 | ↑ +83% |
| Kaiser | Medicare|All Plans | $510.57 | ↑ +83% |
| BCBS - Anthem | Medicare|All Plans | $510.57 | ↑ +83% |
| HPN | Medicare|All Plans | $510.57 | ↑ +83% |
| First Health | Commercial|All Plans | $526.40 | ↑ +89% |
| HPN | Commercial|All Plans | $561.63 | ↑ +101% |
| Healthsmart | Commercial|All Plans | $571.52 | ↑ +105% |
| Health Net | Medicaid|Non-GemCare | $578.94 | ↑ +108% |
| MultiPlan | Commercial|All Plans | $601.60 | ↑ +116% |
| BCBS - Anthem | Commercial|All Other Plans | $646.72 | ↑ +132% |
| Aetna | Commercial|HMO | $677.47 | ↑ +143% |
| Aetna | Commercial|PPO | $711.10 | ↑ +155% |
| United | Commercial|All Other Plans | $752.00 | ↑ +170% |
| United | Commercial|Non-Options PPO | $752.00 | ↑ +170% |
| BCBS - Anthem | Commercial|MCS | $752.00 | ↑ +170% |
| United | Commercial|Options PPO | $752.00 | ↑ +170% |
| United | Commercial|HMO | $752.00 | ↑ +170% |
| Kaiser | Commercial|All Plans | $1,143.68 | ↑ +310% |
| Cigna | Commercial|All Other Plans | $1,976.45 | ↑ +608% |
| Cigna | Commercial|PPO | $1,976.45 | ↑ +608% |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $275.99 | $177.59 – $1,976.45 |
| Arroyo Grande Hospital | Santa Maria | $1,588.31 | $177.59 – $3,463.32 |
| Mark Twain Medical Center | San Andreas | $3,372.63 | $177.59 – $4,848.06 |
| French Hospital | San Luis Obispo | $1,267.73 | $177.59 – $2,083.30 |
| St. Joseph's Medical Center Stockton | Stockton | $207.86 | $111.51 – $531.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $987.84 | $437.05 – $951.22 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $414.68 | $127.92 – $533.00 |
| Mercy Medical Center Merced | Merced | $419.21 | $177.59 – $408.10 |