Assay of lap enzyme at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2.18
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.
$9.98
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.
$3.50 with Western Health Advantage vs $28.98 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $3.50 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $4.10 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4.70 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $4.99 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $6.79 | ↑ +211% |
| Healthsmart | Commercial|All Plans | $7.19 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $7.29 | ↑ +234% |
| Blue Shield CA | Commercial|All Other Plans | $7.29 | ↑ +234% |
| First Health | Commercial|All Plans | $7.49 | ↑ +244% |
| Kaiser | Commercial|All Plans | $7.89 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $7.99 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $7.99 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $7.99 | ↑ +267% |
| Partnership Health Plan | Medicaid|All Plans | $8.15 | ↑ +274% |
| BCBS - Anthem | Medicare|All Other Plans | $9.25 | ↑ +324% |
| Humana | Commercial|All Plans | $9.81 | ↑ +350% |
| Aetna | Medicare|All Plans | $9.81 | ↑ +350% |
| Molina | Medicare|All Plans | $9.81 | ↑ +350% |
| United | Medicare|All Plans | $9.81 | ↑ +350% |
| Kaiser | Medicare|All Plans | $9.81 | ↑ +350% |
| Blue Shield CA | Medicare|HMO | $9.81 | ↑ +350% |
| Blue Shield CA | Medicare|PPO | $9.81 | ↑ +350% |
| Hill Physicians | Commercial|All Plans | $9.81 | ↑ +350% |
| Hill Physicians | Medicare|All Plans | $9.81 | ↑ +350% |
| BCBS - Anthem | Medicaid|All Plans | $9.98 | ↑ +358% |
| BCBS - Anthem | Commercial|MCS | $9.98 | ↑ +358% |
| United | Medicaid|> 21 | $9.98 | ↑ +358% |
| Aetna | Commercial|HMO | $9.98 | ↑ +358% |
| California Health & Wellness | Medicaid|All Plans | $9.98 | ↑ +358% |
| Hill Physicians | Medicaid|All Plans | $9.98 | ↑ +358% |
| BCBS - Anthem | Commercial|All Other Plans | $9.98 | ↑ +358% |
| Health Net | Medicaid|All Plans | $9.98 | ↑ +358% |
| United | Medicaid|< 21 | $9.98 | ↑ +358% |
| United | Commercial|Non-Options PPO | $9.98 | ↑ +358% |
| United | Commercial|HMO | $9.98 | ↑ +358% |
| Aetna | Commercial|All Other Plans | $9.98 | ↑ +358% |
| United | Commercial|All Other Plans | $9.98 | ↑ +358% |
| Molina | Medicaid|All Plans | $9.98 | ↑ +358% |
| Aetna | Commercial|PPO | $9.98 | ↑ +358% |
| BCBS - Anthem | Medicare|Imperial | $10.10 | ↑ +363% |
| BrightHealth | Commercial|All Plans | $10.79 | ↑ +395% |
| Prison Healthcare | Medicaid|All Plans | $14.71 | ↑ +575% |
| Cigna | Commercial|LocalPlus | $21.74 | ↑ +897% |
| Cigna | Commercial|All Other Plans | $28.98 | ↑ +1229% |
Visitor-reported prices
Comments
Assay of lap enzyme at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sierra Nevada Memorial Hospital | Grass Valley | $5.44 | $6.69 – $9.98 |
| Mercy Hospital of Folsom | Folsom | $3.89 | $1.10 – $21.74 |
| Petaluma Valley Hospital | Petaluma | not published | $9.61 – $74.52 |
| Queen of The Valley Medical Center | Napa | not published | $9.81 – $94.18 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $9.81 – $106.80 |
| Healdsburg Hospital | Healdsburg | not published | $9.81 – $42.60 |
| Redwood Memorial Hospital | Fortuna | not published | $107.05 – $107.05 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $9.61 – $80.12 |