Amniocentesisdiagnostic 59000 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$329.84
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.
$1,513.00
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.
$65.71 with United vs $6,582.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $65.71 | ↓ -80% |
| United | Medicaid|> 21 | $65.71 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $72.28 | ↓ -78% |
| Hill Physicians | Commercial|All Plans | $77.84 | ↓ -76% |
| Molina | Medicaid|All Plans | $107.65 | ↓ -67% |
| Hill Physicians | Medicare|All Plans | $123.73 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $152.45 | ↓ -54% |
| Health Net | Medicaid|All Plans | $152.45 | ↓ -54% |
| Partnership Health Plan | Medicaid|All Plans | $353.18 | ↑ +7% |
| Western Health Advantage | Commercial|All Plans | $529.55 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $620.33 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $1,079.02 | ↑ +227% |
| Healthsmart | Commercial|All Plans | $1,089.36 | ↑ +230% |
| First Health | Commercial|All Plans | $1,134.75 | ↑ +244% |
| Blue Shield CA | Medicare|HMO | $1,144.24 | ↑ +247% |
| United | Medicare|All Plans | $1,144.24 | ↑ +247% |
| Molina | Medicare|All Plans | $1,144.24 | ↑ +247% |
| Humana | Commercial|All Plans | $1,144.24 | ↑ +247% |
| Kaiser | Medicare|All Plans | $1,144.24 | ↑ +247% |
| Aetna | Medicare|All Plans | $1,144.24 | ↑ +247% |
| Blue Shield CA | Medicare|PPO | $1,144.24 | ↑ +247% |
| BCBS - Anthem | Medicare|Imperial | $1,178.57 | ↑ +257% |
| Kaiser | Commercial|All Plans | $1,195.27 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,210.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,210.40 | ↑ +267% |
| BrightHealth | Commercial|All Plans | $1,258.66 | ↑ +282% |
| United | Commercial|Non-Options PPO | $1,513.00 | ↑ +359% |
| BCBS - Anthem | Medicaid|All Plans | $1,545.00 | ↑ +368% |
| Prison Healthcare | Medicaid|All Plans | $1,716.36 | ↑ +420% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +904% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +1001% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +1276% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1416% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1416% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1416% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +1752% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1896% |
Visitor-reported prices
Comments
Amniocentesisdiagnostic 59000 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $435.75 | $65.71 – $1,255.79 |
| St. John's Camarillo Hospital | Camarillo | $360.48 | $99.41 – $1,646.00 |
| Banner Lassen Medical Center | Susanville | $433.26 | $94.48 – $805.10 |
| Arroyo Grande Hospital | Santa Maria | $1,151.32 | $65.71 – $2,556.82 |
| Mark Twain Medical Center | San Andreas | $1,965.37 | $65.71 – $1,266.16 |
| French Hospital | San Luis Obispo | $1,022.73 | $65.71 – $2,399.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $499.74 | $65.71 – $1,106.36 |
| Bakersfield Memorial Hospital | Bakersfield | $494.35 | $65.71 – $1,106.36 |