Anca screen with reflex to titer -quest at Mercy General Hospital

4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$13.71

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$62.86

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.38 with Partnership Health Plan vs $62.86 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 →

Payer
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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
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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 $13.38 ↓ -2%
BCBS - Anthem Medicare|All Other Plans $14.19 ↑ +4%
Hill Physicians Medicare|All Plans $15.05 ↑ +10%
Hill Physicians Commercial|All Plans $15.05 ↑ +10%
Aetna Medicare|All Plans $15.05 ↑ +10%
Molina Medicare|All Plans $15.05 ↑ +10%
Humana Commercial|All Plans $15.05 ↑ +10%
Blue Shield CA Medicare|PPO $15.05 ↑ +10%
Kaiser Medicare|All Plans $15.05 ↑ +10%
United Medicare|All Plans $15.05 ↑ +10%
Blue Shield CA Medicare|HMO $15.05 ↑ +10%
BCBS - Anthem Medicare|Imperial $15.50 ↑ +13%
BrightHealth Commercial|All Plans $16.55 ↑ +21%
United Commercial|Non-Options PPO $18.06 ↑ +32%
United Commercial|HMO $18.06 ↑ +32%
United Commercial|All Other Plans $18.06 ↑ +32%
United Medicaid|< 21 $19.19 ↑ +40%
United Medicaid|> 21 $19.19 ↑ +40%
Hill Physicians Medicaid|All Plans $21.11 ↑ +54%
Western Health Advantage Commercial|All Plans $22.01 ↑ +61%
Prison Healthcare Medicaid|All Plans $22.57 ↑ +65%
Molina Medicaid|All Plans $25.15 ↑ +83%
Kaiser Medicaid|All Plans $25.78 ↑ +88%
Blue Shield CA Commercial|ACO Trio CalPers $29.55 ↑ +116%
Blue Shield CA Commercial|Exchange $31.43 ↑ +129%
Cigna Commercial|LocalPlus $33.32 ↑ +143%
BCBS - Anthem Medicaid|All Plans $35.47 ↑ +159%
Blue Shield CA Commercial|HMO $42.75 ↑ +212%
Cigna Commercial|All Other Plans $44.43 ↑ +224%
Health Net Medicaid|All Plans $44.52 ↑ +225%
California Health & Wellness Medicaid|All Plans $44.52 ↑ +225%
Healthsmart Commercial|All Plans $45.26 ↑ +230%
Blue Shield CA Commercial|CalPers $45.89 ↑ +235%
Blue Shield CA Commercial|All Other Plans $45.89 ↑ +235%
First Health Commercial|All Plans $47.15 ↑ +244%
Kaiser Commercial|All Plans $49.66 ↑ +262%
Sutter Health Commercial|All Plans $50.29 ↑ +267%
BCBS - Anthem Commercial|Connection EPO $50.29 ↑ +267%
MultiPlan Commercial|All Plans $50.29 ↑ +267%
Aetna Commercial|PPO $55.02 ↑ +301%
Aetna Commercial|HMO $55.02 ↑ +301%
Aetna Commercial|All Other Plans $55.02 ↑ +301%
BCBS - Anthem Commercial|All Other Plans $62.86 ↑ +358%
BCBS - Anthem Commercial|MCS $62.86 ↑ +358%

Visitor-reported prices

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Anca screen with reflex to titer -quest at other California hospitals

Hospital City Cash price Negotiated range
Methodist Hospital of Sacramento Sacramento $18.11 $13.38 – $52.18
St. John's Camarillo Hospital Camarillo $27.54 $15.05 – $49.04
Petaluma Valley Hospital Petaluma $51.00 $14.75 – $122.88
Arroyo Grande Hospital Santa Maria $26.91 $15.05 – $61.61
Mark Twain Medical Center San Andreas $41.87 $15.05 – $61.61
French Hospital San Luis Obispo $24.65 $15.05 – $61.61
Mercy Hospitals – Bakersfield Bakersfield $140.24 $12.50 – $43.24
Bakersfield Memorial Hospital Bakersfield $138.73 $12.50 – $43.24

All California hospitals for this procedure →