#afb mycobacteria suscep. #1 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$18.10
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.
$83.00
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.
$4.56 with Partnership Health Plan vs $83.00 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 | $4.56 | ↓ -75% |
| United | Medicaid|< 21 | $6.54 | ↓ -64% |
| United | Medicaid|> 21 | $6.54 | ↓ -64% |
| BCBS - Anthem | Medicare|All Other Plans | $6.89 | ↓ -62% |
| Hill Physicians | Medicaid|All Plans | $7.19 | ↓ -60% |
| Blue Shield CA | Medicare|HMO | $7.31 | ↓ -60% |
| Hill Physicians | Medicare|All Plans | $7.31 | ↓ -60% |
| Aetna | Medicare|All Plans | $7.31 | ↓ -60% |
| Molina | Medicare|All Plans | $7.31 | ↓ -60% |
| United | Medicare|All Plans | $7.31 | ↓ -60% |
| Humana | Commercial|All Plans | $7.31 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $7.31 | ↓ -60% |
| Kaiser | Medicare|All Plans | $7.31 | ↓ -60% |
| Blue Shield CA | Medicare|PPO | $7.31 | ↓ -60% |
| BCBS - Anthem | Medicare|Imperial | $7.53 | ↓ -58% |
| BrightHealth | Commercial|All Plans | $8.04 | ↓ -56% |
| Molina | Medicaid|All Plans | $8.57 | ↓ -53% |
| BCBS - Anthem | Medicaid|All Plans | $8.66 | ↓ -52% |
| United | Commercial|Non-Options PPO | $8.77 | ↓ -52% |
| United | Commercial|All Other Plans | $8.77 | ↓ -52% |
| United | Commercial|HMO | $8.77 | ↓ -52% |
| Prison Healthcare | Medicaid|All Plans | $10.96 | ↓ -39% |
| Health Net | Medicaid|All Plans | $15.17 | ↓ -16% |
| California Health & Wellness | Medicaid|All Plans | $15.17 | ↓ -16% |
| Cigna | Commercial|LocalPlus | $16.18 | ↓ -11% |
| Aetna | Commercial|HMO | $20.68 | ↑ +14% |
| Aetna | Commercial|All Other Plans | $20.68 | ↑ +14% |
| Aetna | Commercial|PPO | $20.68 | ↑ +14% |
| Cigna | Commercial|All Other Plans | $21.58 | ↑ +19% |
| Western Health Advantage | Commercial|All Plans | $29.05 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $34.03 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $39.01 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $41.50 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $56.44 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $59.76 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $60.59 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $60.59 | ↑ +235% |
| First Health | Commercial|All Plans | $62.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $65.57 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $66.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $66.40 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $66.40 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $83.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $83.00 | ↑ +359% |
Visitor-reported prices
Comments
#afb mycobacteria suscep. #1 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $23.91 | $4.56 – $68.89 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11.13 | $6.41 – $24.00 |
| Bakersfield Memorial Hospital | Bakersfield | $11.01 | $6.02 – $23.70 |
| St. Joseph's Behavioral Health Center | Stockton | $17.13 | $3.00 – $24.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8.82 | $6.21 – $24.60 |
| Mercy Medical Center Merced | Merced | $15.45 | $5.24 – $28.20 |
| Northridge Hospital Medical Center | Northridge | $7.25 | $3.64 – $25.95 |
| Sierra Nevada Memorial Hospital | Grass Valley | $220.18 | $6.25 – $395.92 |