Arterial blood draw/perc 36620 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$661.63
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.
$3,035.00
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.
$42.75 with Hill Physicians vs $7,150.00 with United — 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 | $42.75 | ↓ -94% |
| Hill Physicians | Medicare|All Plans | $45.55 | ↓ -93% |
| United | Medicaid|> 21 | $48.28 | ↓ -93% |
| United | Medicaid|< 21 | $48.28 | ↓ -93% |
| Molina | Medicaid|All Plans | $79.09 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $83.70 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $114.67 | ↓ -83% |
| Western Health Advantage | Commercial|All Plans | $148.75 | ↓ -78% |
| Kaiser | Medicaid|All Plans | $174.25 | ↓ -74% |
| Health Net | Medicaid|All Plans | $176.53 | ↓ -73% |
| California Health & Wellness | Medicaid|All Plans | $176.53 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $259.48 | ↓ -61% |
| Cigna | Commercial|LocalPlus | $280.50 | ↓ -58% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $284.75 | ↓ -57% |
| Healthsmart | Commercial|All Plans | $306.00 | ↓ -54% |
| First Health | Commercial|All Plans | $318.75 | ↓ -52% |
| Blue Shield CA | Commercial|Exchange | $323.00 | ↓ -51% |
| Kaiser | Commercial|All Plans | $335.75 | ↓ -49% |
| MultiPlan | Commercial|All Plans | $340.00 | ↓ -49% |
| Sutter Health | Commercial|All Plans | $340.00 | ↓ -49% |
| Cigna | Commercial|All Other Plans | $374.00 | ↓ -43% |
| Blue Shield CA | Commercial|All Other Plans | $382.50 | ↓ -42% |
| Blue Shield CA | Commercial|HMO | $382.50 | ↓ -42% |
| Blue Shield CA | Commercial|CalPers | $386.75 | ↓ -42% |
| United | Commercial|Non-Options PPO | $941.00 | ↑ +42% |
| United | Commercial|HMO | $2,842.00 | ↑ +330% |
| BrightHealth | Commercial|All Plans | $3,245.00 | ↑ +390% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +449% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +586% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +656% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +656% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +656% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +895% |
| United | Commercial|All Other Plans | $7,150.00 | ↑ +981% |
Visitor-reported prices
Comments
Arterial blood draw/perc 36620 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $874.08 | $42.75 – $352.75 |
| St. John's Camarillo Hospital | Camarillo | $169.95 | $37.53 – $318.16 |
| Banner Lassen Medical Center | Susanville | $250.78 | $69.42 – $197.88 |
| Petaluma Valley Hospital | Petaluma | $3,310.41 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $231.98 | $48.28 – $490.00 |
| Mark Twain Medical Center | San Andreas | $153.85 | $48.28 – $226.38 |
| French Hospital | San Luis Obispo | $253.63 | $48.28 – $490.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $178.08 | $48.28 – $393.60 |