Anti-inhibitor at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2.84
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.
$13.00
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.
$0.02 with BCBS - Anthem vs $7.44 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $0.02 | ↓ -99% |
| Hill Physicians | Medicare|All Plans | $2.09 | ↓ -26% |
| Health Net | Commercial|EPPO | $2.26 | ↓ -20% |
| BCBS - Anthem | Medicare|All Other Plans | $2.31 | ↓ -19% |
| Western Health Advantage | Commercial|All Plans | $2.43 | ↓ -14% |
| Blue Shield CA | Medicare|HMO | $2.45 | ↓ -14% |
| Aetna | Medicare|All Plans | $2.45 | ↓ -14% |
| Molina | Medicare|All Plans | $2.45 | ↓ -14% |
| United | Medicare|All Plans | $2.45 | ↓ -14% |
| Kaiser | Medicare|All Plans | $2.45 | ↓ -14% |
| Humana | Commercial|All Plans | $2.45 | ↓ -14% |
| Blue Shield CA | Medicare|PPO | $2.45 | ↓ -14% |
| BCBS - Anthem | Medicare|Imperial | $2.52 | ↓ -11% |
| Hill Physicians | Commercial|All Plans | $2.54 | ↓ -11% |
| BrightHealth | Commercial|All Plans | $2.69 | ↓ -5% |
| Blue Shield CA | Commercial|CalPers | $3.24 | ↑ +14% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3.24 | ↑ +14% |
| Blue Shield CA | Commercial|HMO | $3.24 | ↑ +14% |
| Blue Shield CA | Commercial|Exchange | $3.24 | ↑ +14% |
| Blue Shield CA | Commercial|All Other Plans | $3.24 | ↑ +14% |
| United | Commercial|Non-Options PPO | $3.63 | ↑ +28% |
| Prison Healthcare | Medicaid|All Plans | $3.67 | ↑ +29% |
| Kaiser | Medicaid|All Plans | $3.69 | ↑ +30% |
| United | Commercial|HMO | $3.89 | ↑ +37% |
| United | Commercial|All Other Plans | $3.89 | ↑ +37% |
| BCBS - Anthem | Commercial|Connection EPO | $3.92 | ↑ +38% |
| Health Net | Commercial|FFS | $4.34 | ↑ +53% |
| California Health & Wellness | Medicaid|All Plans | $4.50 | ↑ +58% |
| Health Net | Medicaid|All Plans | $4.50 | ↑ +58% |
| BCBS - Anthem | Commercial|All Other Plans | $4.90 | ↑ +73% |
| Aetna | Commercial|All Other Plans | $4.94 | ↑ +74% |
| Aetna | Commercial|PPO | $4.94 | ↑ +74% |
| Aetna | Commercial|HMO | $4.94 | ↑ +74% |
| Cigna | Commercial|LocalPlus | $5.58 | ↑ +96% |
| Healthsmart | Commercial|All Plans | $6.48 | ↑ +128% |
| First Health | Commercial|All Plans | $6.75 | ↑ +138% |
| BCBS - Anthem | Commercial|MCS | $7.11 | ↑ +150% |
| Kaiser | Commercial|All Plans | $7.11 | ↑ +150% |
| Sutter Health | Commercial|All Plans | $7.20 | ↑ +154% |
| MultiPlan | Commercial|All Plans | $7.20 | ↑ +154% |
| Cigna | Commercial|All Other Plans | $7.44 | ↑ +162% |
Visitor-reported prices
Comments
Anti-inhibitor at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3.75 | $0.02 – $7.47 |
| Northridge Hospital Medical Center | Northridge | $217.62 | $0.01 – $780.00 |
| Mercy San Juan Medical Center | Carmichael | $3.57 | $0.02 – $7.47 |
| Mercy Medical Center Redding | Redding | $7.10 | $0.02 – $9.80 |
| Mercy Hospital of Folsom | Folsom | $5.06 | $0.02 – $7.38 |
| Petaluma Valley Hospital | Petaluma | not published | $1.73 – $5.16 |
| Queen of The Valley Medical Center | Napa | not published | $1.87 – $5.16 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $2.23 – $5.16 |