Vaccine pneumococcal conjugate 13 valent (pcv13) im at Mercy Hospitals – Bakersfield
2215 Truxtun Ave., Bakersfield, CA · CommonSpirit Health · · NPI 1104981661
$399.94
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.
$1,078.00
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.
$99.59 with BCBS - Anthem vs $433.00 with Health Net — 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 | Medicare|All Plans | $99.59 | ↓ -75% |
| Humana | Medicare|All Plans | $99.59 | ↓ -75% |
| HPN | Medicare|All Plans | $99.59 | ↓ -75% |
| Kaiser | Medicare|All Plans | $99.59 | ↓ -75% |
| United | Medicare|All Plans | $99.59 | ↓ -75% |
| Blue Shield CA | Medicare|All Plans | $99.59 | ↓ -75% |
| Aetna | Medicare|All Plans | $99.59 | ↓ -75% |
| Health Net | Commercial|Community Care PPO | $143.93 | ↓ -64% |
| Health Net | Commercial|Care Product | $168.37 | ↓ -58% |
| CHN Sun View | Commercial|All Plans | $173.20 | ↓ -57% |
| Cigna | Commercial|PPO | $177.53 | ↓ -56% |
| Cigna | Commercial|All Other Plans | $177.53 | ↓ -56% |
| Health Net | Commercial|FFS | $200.96 | ↓ -50% |
| Western Growers | Commercial|All Plans | $216.50 | ↓ -46% |
| HPN | Commercial|All Plans | $220.83 | ↓ -45% |
| Kaiser | Commercial|All Plans | $223.09 | ↓ -44% |
| LA Care | Medicaid|> 21 | $262.45 | ↓ -34% |
| Care 1st | Medicaid|> 21 | $262.45 | ↓ -34% |
| Molina | Medicaid|< 21 | $262.45 | ↓ -34% |
| Molina | Medicaid|> 21 | $262.45 | ↓ -34% |
| Kaiser | Medicaid|< 21 | $262.45 | ↓ -34% |
| Kaiser | Medicaid|> 21 | $262.45 | ↓ -34% |
| BCBS - Anthem | Medicaid|< 21 | $262.45 | ↓ -34% |
| BCBS - Anthem | Medicaid|> 21 | $262.45 | ↓ -34% |
| Partnership Health Plan | Medicaid|< 21 | $262.45 | ↓ -34% |
| Partnership Health Plan | Medicaid|> 21 | $262.45 | ↓ -34% |
| LA Care | Medicaid|< 21 | $262.45 | ↓ -34% |
| Care 1st | Medicaid|< 21 | $262.45 | ↓ -34% |
| Blue Shield CA | Commercial|All Other Plans | $271.57 | ↓ -32% |
| Blue Shield CA | Commercial|Exchange | $271.57 | ↓ -32% |
| BCBS - Anthem | Commercial|Exchange | $294.44 | ↓ -26% |
| First Health | Commercial|All Plans | $303.10 | ↓ -24% |
| Healthsmart | Commercial|All Plans | $329.08 | ↓ -18% |
| MultiPlan | Commercial|All Plans | $346.40 | ↓ -13% |
| Kern Health System | Medicaid|< 21 | $368.74 | ↓ -8% |
| Kern Health System | Medicaid|> 21 | $368.74 | ↓ -8% |
| United | Commercial|Non-Options PPO | $398.28 | ↓ -0% |
| BCBS - Anthem | Commercial|All Other Plans | $402.69 | ↑ +1% |
| United | Commercial|HMO | $425.68 | ↑ +6% |
| United | Commercial|All Other Plans | $425.68 | ↑ +6% |
| United | Commercial|Options PPO | $425.68 | ↑ +6% |
| Health Net | Medicaid|Non-GemCare | $433.00 | ↑ +8% |
| BCBS - Anthem | Commercial|MCS | $433.00 | ↑ +8% |
| Health Net | Medicaid|GemCare | $433.00 | ↑ +8% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $378.37 | $166.27 – $829.30 |
| Mark Twain Medical Center | San Andreas | $736.49 | $286.08 – $1,083.72 |
| French Hospital | San Luis Obispo | $1,061.93 | $245.84 – $2,654.82 |
| Queen of The Valley Medical Center | Napa | $656.72 | $165.16 – $554.68 |
| Providence St Joseph Hospital Eureka | Eureka | $656.72 | $197.01 – $554.68 |
| St. Joseph's Behavioral Health Center | Stockton | $471.65 | $33.20 – $265.60 |
| Healdsburg Hospital | Healdsburg | $326.40 | $230.83 – $389.05 |
| Redwood Memorial Hospital | Fortuna | $76.50 | $197.50 – $515.98 |