Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$155.22
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.
$712.00
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.
$32.81 with United vs $19,089.00 with Cigna — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $32.81 | ↓ -79% |
| United | Medicaid|> 21 | $32.81 | ↓ -79% |
| Hill Physicians | Medicaid|All Plans | $39.89 | ↓ -74% |
| Molina | Medicaid|All Plans | $53.75 | ↓ -65% |
| BCBS - Anthem | Medicaid|All Plans | $54.32 | ↓ -65% |
| Hill Physicians | Commercial|All Plans | $66.65 | ↓ -57% |
| Hill Physicians | Medicare|All Plans | $76.57 | ↓ -51% |
| California Health & Wellness | Medicaid|All Plans | $84.12 | ↓ -46% |
| Health Net | Medicaid|All Plans | $84.12 | ↓ -46% |
| BCBS - Anthem | Medicare|All Other Plans | $88.19 | ↓ -43% |
| Kaiser | Medicare|All Plans | $93.52 | ↓ -40% |
| Humana | Commercial|All Plans | $93.52 | ↓ -40% |
| Aetna | Medicare|All Plans | $93.52 | ↓ -40% |
| Molina | Medicare|All Plans | $93.52 | ↓ -40% |
| United | Medicare|All Plans | $93.52 | ↓ -40% |
| Blue Shield CA | Medicare|PPO | $93.52 | ↓ -40% |
| Blue Shield CA | Medicare|HMO | $93.52 | ↓ -40% |
| BCBS - Anthem | Medicare|Imperial | $96.33 | ↓ -38% |
| BrightHealth | Commercial|All Plans | $102.87 | ↓ -34% |
| Partnership Health Plan | Medicaid|All Plans | $122.94 | ↓ -21% |
| Prison Healthcare | Medicaid|All Plans | $140.28 | ↓ -10% |
| Western Health Advantage | Commercial|All Plans | $249.20 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $291.92 | ↑ +88% |
| Aetna | Commercial|HMO | $314.03 | ↑ +102% |
| Aetna | Commercial|PPO | $314.03 | ↑ +102% |
| Aetna | Commercial|All Other Plans | $314.03 | ↑ +102% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $448.56 | ↑ +189% |
| Blue Shield CA | Commercial|Exchange | $462.80 | ↑ +198% |
| Cigna | Commercial|LocalPlus | $469.92 | ↑ +203% |
| Healthsmart | Commercial|All Plans | $512.64 | ↑ +230% |
| First Health | Commercial|All Plans | $534.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $562.48 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $569.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $569.60 | ↑ +267% |
| Blue Shield CA | Commercial|HMO | $640.80 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $640.80 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $647.92 | ↑ +317% |
| United | Commercial|HMO | $712.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $712.00 | ↑ +359% |
| United | Commercial|All Other Plans | $712.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $712.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $2,126.00 | ↑ +1270% |
| BCBS - Anthem | Commercial|All Other Plans | $2,658.00 | ↑ +1612% |
| Cigna | Commercial|All Other Plans | $19,089.00 | ↑ +12198% |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $205.06 | $32.81 – $626.56 |
| St. John's Camarillo Hospital | Camarillo | $220.76 | $40.36 – $365.20 |
| Banner Lassen Medical Center | Susanville | $106.68 | $14.23 – $235.71 |
| Arroyo Grande Hospital | Santa Maria | $168.21 | $32.81 – $11,311.00 |
| Mark Twain Medical Center | San Andreas | $634.70 | $32.81 – $866.32 |
| French Hospital | San Luis Obispo | $131.32 | $32.81 – $9,050.00 |
| Bakersfield Memorial Hospital | Bakersfield | $663.91 | $32.81 – $318.16 |
| Queen of The Valley Medical Center | Napa | $247.86 | $102.23 – $102.23 |