Apheresis rbc at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
not published by hospital
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.
not published by hospital
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.
$107.01 with Hill Physicians vs $7,197.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $107.01 | — |
| Hill Physicians | Medicare|All Plans | $112.66 | — |
| United | Medicaid|> 21 | $1,121.46 | — |
| United | Medicaid|< 21 | $1,121.46 | — |
| Hill Physicians | Medicaid|All Plans | $1,355.68 | — |
| Molina | Medicaid|All Plans | $1,837.31 | — |
| BCBS - Anthem | Medicaid|All Plans | $1,856.85 | — |
| BCBS - Anthem | Medicare|All Other Plans | $2,031.39 | — |
| BCBS - Anthem | Commercial|Connection EPO | $2,126.00 | — |
| Molina | Medicare|All Plans | $2,154.18 | — |
| Blue Shield CA | Medicare|PPO | $2,154.18 | — |
| Blue Shield CA | Medicare|HMO | $2,154.18 | — |
| Humana | Commercial|All Plans | $2,154.18 | — |
| Kaiser | Medicare|All Plans | $2,154.18 | — |
| United | Medicare|All Plans | $2,154.18 | — |
| Aetna | Medicare|All Plans | $2,154.18 | — |
| BCBS - Anthem | Medicare|Imperial | $2,218.81 | — |
| BrightHealth | Commercial|All Plans | $2,369.60 | — |
| BCBS - Anthem | Commercial|All Other Plans | $2,658.00 | — |
| Health Net | Medicaid|All Plans | $2,859.26 | — |
| California Health & Wellness | Medicaid|All Plans | $2,859.26 | — |
| Prison Healthcare | Medicaid|All Plans | $3,231.27 | — |
| BCBS - Anthem | Commercial|MCS | $3,854.00 | — |
| Health Net | Commercial|EPPO | $3,902.00 | — |
| Partnership Health Plan | Medicaid|All Plans | $4,202.35 | — |
| Aetna | Commercial|PPO | $7,003.00 | — |
| Aetna | Commercial|HMO | $7,003.00 | — |
| Aetna | Commercial|All Other Plans | $7,003.00 | — |
| Health Net | Commercial|FFS | $7,197.00 | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Apheresis rbc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | not published | $107.01 – $4,202.35 |
| Queen of The Valley Medical Center | Napa | $2,872.32 | $2,211.33 – $7,455.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,504.72 | $2,003.11 – $8,018.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,660.96 | $1,702.64 – $5,171.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,385.86 | $1,044.48 – $4,264.96 |
| Northridge Hospital Medical Center | Northridge | $1,396.12 | $892.00 – $5,147.50 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,244.90 | $1,142.00 – $4,776.00 |
| Sequoia Hospital | Redwood City | $2,416.24 | $123.61 – $7,524.52 |