How many shoppable procedure prices are published for Adventist Health Bakersfield?

Adventist Health Bakersfield in Bakersfield, CA currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Adventist Health Bakersfield's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Adventist Health Bakersfield's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Adventist Health Bakersfield's CMS Care Compare overall star rating?

CMS Care Compare assigns Adventist Health Bakersfield an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 254 Beds · rural Updated: 2026-07-29

Adventist Health Bakersfield

2615 Chester Avenue, Bakersfield, CA 93301 · 114 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.06×vs. Fair Market Price

Typical commercial prices here are +6% above the fair benchmark (1.06×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 73% of the Time

File Completeness45

Price Logic69

Peer Alignment62

Clean Billing96

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.06× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Adventist Health Bakersfield maintains elevated commercial insurance contracts (1.06× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 73% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#104 of 240 in CA · 42nd State Percentile#1,539 of 3,385 in U.S. · 45th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.69× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 73% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 67% patient recommendation (56/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.06× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.7×) & laboratory (1.6×) services average 1.30× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.28×) jump +19% above the median procedure ratio (Q50 1.08×)
Unnegotiated chargemaster list prices average 12.6× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.30× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+19% Upper Tail

Q25 0.69× · Q50 1.08× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

73% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 56/100Elevated

Procedure Prices at Adventist Health Bakersfield

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$17,821	$20,306	$17,936	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$24,030	$20,306	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$18,163	$19,785	$19,087	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,415	$12,406	$8,223	unverified
C-section delivery (full package) CPT Code: `59510`	$1,335	$2,633	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$1,211	$2,377	$2,680	0.9×
Blood transfusion CPT Code: `36430`	$218	$999	$498	2.0×
Cataract surgery with lens implant CPT Code: `66984`	$285	$641	$2,540	0.3×
Bunion correction surgery CPT Code: `28296`	$273	$605	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$155	$602	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$324	$613	$3,875	0.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,157	$369	$511	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$134	$366	$201	unverified
Rabies immune globulin HCPCS Code: `90375`	$564	$302	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$760	$310	$448	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$745	$229	$343	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$551	$224	$338	0.7×
Colonoscopy with biopsy CPT Code: `45380`	$102	$240	$1,256	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$569	$197	$258	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$559	$210	$303	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$93	$210	$981	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$28	$163	$86	1.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$64	$188	$151	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$54	$160	$185	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$471	$172	$242	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$593	$197	$369	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$403	$159	$583	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$70	$163	$987	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$92	$133	$86	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$51	$156	$181	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$99	$95	$64	1.5×
X-ray, shoulder CPT Code: `73030`	$110	$110	$92	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$25	$98	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$34	$103	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$78	$123	$148	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$388	$131	$167	0.8×
CT scan, sinuses CPT Code: `70486`	$477	$129	$166	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$441	$130	$169	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$430	$129	$168	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$389	$118	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$257	$114	$163	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$35	$104	$166	0.6×
Neurobehavioral status check CPT Code: `96116`	$29	$91	$231	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$443	$96	$272	0.4×
Total hip replacement CPT Code: `27130`	$106	$106	$13,413	0.0×
Total knee replacement CPT Code: `27447`	$105	$105	$13,523	0.0×
Prosthetic fitting and training CPT Code: `97761`	$34	$96	$45	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$123	$553	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$293	$447	$347	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$74	$336	$111	3.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$23	$121	$39	unverified
X-ray, hip CPT Code: `73502`	$78	$78	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$73	$73	$93	0.8×
X-ray, foot CPT Code: `73630`	$66	$66	$92	0.7×
X-ray, hand CPT Code: `73130`	$66	$66	$93	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$17	$90	$25	unverified
Speech therapy (group session) CPT Code: `92508`	$48	$42	$27	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$41	$62	$40	1.6×
Physical therapy (gait training) CPT Code: `97116`	$41	$51	$33	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$35	$57	$38	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$40	$48	$34	1.4×
Orthotic fitting and training CPT Code: `97760`	$19	$64	$51	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$20	$42	$35	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$27	$44	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$27	$44	$38	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$20	$67	$87	0.8×
X-ray, chest (single view) CPT Code: `71045`	$56	$56	$92	0.6×
X-ray, pelvis CPT Code: `72170`	$64	$64	$110	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$64	$71	$123	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$194	$64	$134	0.5×
Blood test, vitamin D CPT Code: `82306`	$60	$38	$31	1.2×
Ultrasound, pelvis CPT Code: `76856`	$153	$49	$130	0.4×
X-ray, ankle CPT Code: `73610`	$34	$34	$93	0.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$134	$46	$126	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$133	$40	$132	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$52	$52	$3,372	0.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$54	$54	$6,109	0.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$41	$41	$20	unverified
Blood test, calcium CPT Code: `82310`	$17	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$7	$5	1.4×
Blood test, liver function panel CPT Code: `80076`	$49	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$8	$6	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$19	$13	$10	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$31	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$39	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$27	$9	$7	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$56	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$33	$19	$15	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$31	$20	$16	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$24	$39	$35	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$40	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$33	$17	$14	1.2×
Blood test, amylase CPT Code: `82150`	$31	$8	$7	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$11	$33	$33	1.0×
X-ray, lower back CPT Code: `72110`	$108	$22	$112	0.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$41	$41	$56	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$43	$43	$1,021	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$11	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$32	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$55	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	$25	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$23	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$6	$5	1.2×
Culture, blood CPT Code: `87040`	$74	$13	$11	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$47	$22	$19	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$40	$18	$18	1.0×
Blood test, hemoglobin CPT Code: `85018`	$10	$3	$3	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$9	$21	$25	0.8×
Blood antibody screen CPT Code: `86850`	$7	$12	$46	0.3×
Psychological testing evaluation CPT Code: `96136`	$9	$30	$128	0.2×
X-ray, chest (two views) CPT Code: `71046`	$75	$17	$93	0.2×
Hepatitis B vaccine HCPCS Code: `90744`	$25	$25	$37	unverified

Showing top 25 high-impact procedures of 114 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.7%

Audit a Bill or Quote at Adventist Health Bakersfield (Zero PHI Required)

CMS CCN: 050455

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash $17,821

Insurer Median $20,306

1. Amount on Your Bill or Quote ($) Pre-filled with Adventist Health Bakersfield’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $41,201 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $41,201

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.7% of gross = $41,201).

Step 2 · Cash vs. Insurance Arbitrage Save $100,982 Paying Cash

Self-Pay Cash Rate ($17,821) Beats Your Bill

Adventist Health Bakersfield's published 45 CFR § 180 self-pay cash rate is $17,821 (vs. $20,306 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$100,867 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($118,803) is $100,867 above the denoised Fair BaseRate ($17,936) and 9.3× the $12,807 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (34.7% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite56/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait280 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Adventist Health Bakersfield. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-22·administrative_or_closure
Met Requirements
Recorded
2024-02-22·administrative_or_closure
Met Requirements
Recorded
2022-12-15·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,051 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Adventist Health Bakersfield.

Price Index: 1.03× regional baseline

Quality: 47/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

-56.3%

Median Household Income$67,660U.S. Census ACS

Local Uninsured Share7.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 050455

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050455) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-29 · 996.97 MB

Validated Rate Rows9,893 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050455

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy