Antithrombin iii injection at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$4.15
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.
?
What you pay up front if you don't use insurance.
$19.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.02 with BCBS - Anthem vs $12.22 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -100% |
| Kaiser | Medicaid|All Plans | $0.41 | ↓ -90% |
| Health Net | Medicaid|All Plans | $0.50 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $0.50 | ↓ -88% |
| Healthsmart | Commercial|All Plans | $0.72 | ↓ -83% |
| BCBS - Anthem | Commercial|Connection EPO | $0.72 | ↓ -83% |
| First Health | Commercial|All Plans | $0.75 | ↓ -82% |
| Kaiser | Commercial|All Plans | $0.79 | ↓ -81% |
| Sutter Health | Commercial|All Plans | $0.80 | ↓ -81% |
| MultiPlan | Commercial|All Plans | $0.80 | ↓ -81% |
| BCBS - Anthem | Commercial|All Other Plans | $0.90 | ↓ -78% |
| BCBS - Anthem | Medicare|All Other Plans | $0.95 | ↓ -77% |
| Humana | Commercial|All Plans | $1.00 | ↓ -76% |
| Aetna | Commercial|All Other Plans | $1.00 | ↓ -76% |
| Aetna | Commercial|PPO | $1.00 | ↓ -76% |
| Aetna | Medicare|All Plans | $1.00 | ↓ -76% |
| Aetna | Commercial|HMO | $1.00 | ↓ -76% |
| Molina | Medicare|All Plans | $1.00 | ↓ -76% |
| United | Commercial|All Other Plans | $1.00 | ↓ -76% |
| United | Commercial|HMO | $1.00 | ↓ -76% |
| United | Commercial|Non-Options PPO | $1.00 | ↓ -76% |
| Health Net | Commercial|FFS | $1.00 | ↓ -76% |
| Health Net | Commercial|EPPO | $1.00 | ↓ -76% |
| BCBS - Anthem | Commercial|MCS | $1.00 | ↓ -76% |
| Blue Shield CA | Commercial|All Other Plans | $1.00 | ↓ -76% |
| Blue Shield CA | Commercial|Exchange | $1.00 | ↓ -76% |
| Blue Shield CA | Commercial|HMO | $1.00 | ↓ -76% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1.00 | ↓ -76% |
| Blue Shield CA | Commercial|CalPers | $1.00 | ↓ -76% |
| Blue Shield CA | Medicare|PPO | $1.00 | ↓ -76% |
| Hill Physicians | Commercial|All Plans | $1.00 | ↓ -76% |
| Hill Physicians | Medicare|All Plans | $1.00 | ↓ -76% |
| BCBS - Anthem | Medicare|Imperial | $1.03 | ↓ -75% |
| BrightHealth | Commercial|All Plans | $1.10 | ↓ -73% |
| Western Health Advantage | Commercial|All Plans | $4.19 | ↑ +1% |
| Kaiser | Medicare|All Plans | $5.37 | ↑ +29% |
| United | Medicare|All Plans | $5.37 | ↑ +29% |
| Blue Shield CA | Medicare|HMO | $5.37 | ↑ +29% |
| Prison Healthcare | Medicaid|All Plans | $8.05 | ↑ +94% |
| Cigna | Commercial|LocalPlus | $9.16 | ↑ +121% |
| Cigna | Commercial|All Other Plans | $12.22 | ↑ +194% |
Visitor-reported prices
Comments
Antithrombin iii injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Redding | Redding | $10.65 | $0.02 – $1.00 |
| Petaluma Valley Hospital | Petaluma | not published | $1.55 – $8.47 |
| Queen of The Valley Medical Center | Napa | not published | $1.68 – $8.47 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $2.00 – $8.47 |
| Healdsburg Hospital | Healdsburg | not published | $3.96 – $7.92 |
| Redwood Memorial Hospital | Fortuna | not published | $2.01 – $8.17 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $1.67 – $8.47 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $4.10 – $8.47 |