Acute hepatitis panel at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$73.03
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.
$335.00
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.
$34.86 with Partnership Health Plan vs $335.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $34.86 | ↓ -52% |
| BCBS - Anthem | Medicare|All Other Plans | $44.92 | ↓ -38% |
| Hill Physicians | Medicare|All Plans | $47.63 | ↓ -35% |
| Blue Shield CA | Medicare|HMO | $47.63 | ↓ -35% |
| United | Medicare|All Plans | $47.63 | ↓ -35% |
| Hill Physicians | Commercial|All Plans | $47.63 | ↓ -35% |
| Kaiser | Medicare|All Plans | $47.63 | ↓ -35% |
| Blue Shield CA | Medicare|PPO | $47.63 | ↓ -35% |
| Molina | Medicare|All Plans | $47.63 | ↓ -35% |
| Aetna | Medicare|All Plans | $47.63 | ↓ -35% |
| Humana | Commercial|All Plans | $47.63 | ↓ -35% |
| BCBS - Anthem | Medicare|Imperial | $49.06 | ↓ -33% |
| United | Medicaid|< 21 | $50.00 | ↓ -32% |
| United | Medicaid|> 21 | $50.00 | ↓ -32% |
| BrightHealth | Commercial|All Plans | $52.39 | ↓ -28% |
| Hill Physicians | Medicaid|All Plans | $55.00 | ↓ -25% |
| United | Commercial|All Other Plans | $57.16 | ↓ -22% |
| United | Commercial|Non-Options PPO | $57.16 | ↓ -22% |
| United | Commercial|HMO | $57.16 | ↓ -22% |
| Molina | Medicaid|All Plans | $65.54 | ↓ -10% |
| Prison Healthcare | Medicaid|All Plans | $71.44 | ↓ -2% |
| Cigna | Commercial|LocalPlus | $105.48 | ↑ +44% |
| California Health & Wellness | Medicaid|All Plans | $116.00 | ↑ +59% |
| Health Net | Medicaid|All Plans | $116.00 | ↑ +59% |
| Western Health Advantage | Commercial|All Plans | $117.25 | ↑ +61% |
| BCBS - Anthem | Medicaid|All Plans | $119.59 | ↑ +64% |
| Kaiser | Medicaid|All Plans | $137.35 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $140.65 | ↑ +93% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $157.45 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $167.50 | ↑ +129% |
| Aetna | Commercial|PPO | $173.98 | ↑ +138% |
| Aetna | Commercial|HMO | $173.98 | ↑ +138% |
| Aetna | Commercial|All Other Plans | $173.98 | ↑ +138% |
| Blue Shield CA | Commercial|HMO | $227.80 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $241.20 | ↑ +230% |
| Blue Shield CA | Commercial|All Other Plans | $244.55 | ↑ +235% |
| Blue Shield CA | Commercial|CalPers | $244.55 | ↑ +235% |
| First Health | Commercial|All Plans | $251.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $264.65 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $268.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $268.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $268.00 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $335.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $335.00 | ↑ +359% |
Visitor-reported prices
Comments
Acute hepatitis panel at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $96.48 | $34.86 – $278.05 |
| St. John's Camarillo Hospital | Camarillo | $260.61 | $47.63 – $148.61 |
| Banner Lassen Medical Center | Susanville | $93.90 | $9.53 – $145.50 |
| Petaluma Valley Hospital | Petaluma | $436.56 | $46.68 – $330.13 |
| Arroyo Grande Hospital | Santa Maria | $110.43 | $16.50 – $122.73 |
| Mark Twain Medical Center | San Andreas | $322.35 | $47.63 – $116.70 |
| French Hospital | San Luis Obispo | $101.14 | $8.91 – $144.27 |
| Mercy Hospitals – Bakersfield | Bakersfield | $455.22 | $16.50 – $136.87 |