25/100
#2,014 nationally
Adventist Health Bakersfield
2615 Chester Avenue, Bakersfield, CA 93301 · (661) 395-3000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Adventist Health Bakersfield billed $6.66 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.7x
- volume-weighted across all its priced work
- Procedures priced
- 114
- inpatient and outpatient combined
- Rank in CA
- #133
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 17% of U.S. hospitals.
Better than 43% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 22% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
747 | $22,161 | $3,974 | -12% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
473 | $40,693 | $3,328 | +109% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
433 | $132,222 | $18,809 | +103% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
325 | $124,753 | $15,975 | +100% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
217 | $83,684 | $12,317 | +93% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
214 | $5,816 | $1,971 | -42% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
179 | $16,588 | $3,829 | -13% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
158 | $73,472 | $13,428 | +9% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
120 | $64,150 | $6,914 | +83% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
105 | $92,154 | $12,799 | +98% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
$438,263 | $39,045 | +139% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$124,644 | $15,327 | +129% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$246,253 | $28,034 | +117% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$50,293 | $4,183 | +116% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$88,413 | $10,816 | +111% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$72,793 | $9,107 | +110% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$23,912 | $2,087 | +110% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$40,693 | $3,328 | +109% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,816 | $1,971 | -42% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$9,842 | $3,307 | -41% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$15,406 | $4,708 | -30% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$22,016 | $7,007 | -27% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,468 | $1,969 | -25% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$13,589 | $3,452 | -23% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$16,588 | $3,829 | -13% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$22,161 | $3,974 | -12% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.