Removal of shunt at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$3,406.90
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.
$9,183.00
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.
$392.61 with BCBS - Anthem vs $8,958.23 with Kaiser — 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 | $392.61 | ↓ -88% |
| Care 1st | Medicaid|> 21 | $392.61 | ↓ -88% |
| LA Care | Medicaid|> 21 | $392.61 | ↓ -88% |
| LA Care | Medicaid|< 21 | $392.61 | ↓ -88% |
| Molina | Medicaid|< 21 | $392.61 | ↓ -88% |
| Molina | Medicaid|> 21 | $392.61 | ↓ -88% |
| Care 1st | Medicaid|< 21 | $392.61 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $392.61 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $392.61 | ↓ -88% |
| BCBS - Anthem | Medicaid|> 21 | $392.61 | ↓ -88% |
| Kaiser | Medicaid|< 21 | $392.61 | ↓ -88% |
| Kaiser | Medicaid|> 21 | $392.61 | ↓ -88% |
| Kern Health System | Medicaid|> 21 | $869.55 | ↓ -74% |
| Kern Health System | Medicaid|< 21 | $869.55 | ↓ -74% |
| Health Net | Medicaid|GemCare | $1,491.55 | ↓ -56% |
| Health Net | Medicaid|Non-GemCare | $2,017.61 | ↓ -41% |
| United | Medicare|All Plans | $3,999.21 | ↑ +17% |
| HPN | Medicare|All Plans | $3,999.21 | ↑ +17% |
| Blue Shield CA | Medicare|All Plans | $3,999.21 | ↑ +17% |
| Aetna | Medicare|All Plans | $3,999.21 | ↑ +17% |
| Humana | Medicare|All Plans | $3,999.21 | ↑ +17% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↑ +17% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↑ +17% |
| HPN | Commercial|All Plans | $4,399.13 | ↑ +29% |
| Blue Shield CA | Commercial|Exchange | $4,426.00 | ↑ +30% |
| BCBS - Anthem | Commercial|Exchange | $4,460.00 | ↑ +31% |
| Aetna | Commercial|HMO | $4,911.00 | ↑ +44% |
| Western Growers | Commercial|All Plans | $5,050.65 | ↑ +48% |
| Aetna | Commercial|PPO | $5,153.00 | ↑ +51% |
| CHN Sun View | Commercial|All Plans | $5,968.95 | ↑ +75% |
| BCBS - Anthem | Commercial|All Other Plans | $6,109.00 | ↑ +79% |
| First Health | Commercial|All Plans | $6,428.10 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $6,979.08 | ↑ +105% |
| Blue Shield CA | Commercial|All Other Plans | $7,065.00 | ↑ +107% |
| United | Commercial|Options PPO | $7,162.74 | ↑ +110% |
| United | Commercial|All Other Plans | $7,162.74 | ↑ +110% |
| United | Commercial|Non-Options PPO | $7,254.57 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $7,346.40 | ↑ +116% |
| BCBS - Anthem | Commercial|MCS | $8,247.00 | ↑ +142% |
| United | Commercial|HMO | $8,632.02 | ↑ +153% |
| Kaiser | Commercial|All Plans | $8,958.23 | ↑ +163% |
Visitor-reported prices
Comments
Removal of shunt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | not published | $392.61 – $3,999.21 |
| Arroyo Grande Hospital | Santa Maria | $3,661.97 | $392.61 – $8,384.88 |
| French Hospital | San Luis Obispo | $3,353.96 | $392.61 – $8,384.88 |
| St. Joseph's Medical Center Stockton | Stockton | $2,313.20 | $392.61 – $6,609.12 |
| St. John's Camarillo Hospital | Camarillo | not published | $482.91 – $7,477.22 |
| Petaluma Valley Hospital | Petaluma | not published | $2,937.00 – $11,185.00 |
| Mark Twain Medical Center | San Andreas | not published | $392.61 – $392.61 |
| Queen of The Valley Medical Center | Napa | not published | $4,483.19 – $17,909.00 |