Assay of osteocalcin at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$8.07
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.
$37.00
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.
$12.95 with Western Health Advantage vs $88.13 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 | $12.95 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $15.17 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $17.39 | ↑ +115% |
| Blue Shield CA | Commercial|Exchange | $18.50 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $25.16 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $26.64 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $27.01 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $27.01 | ↑ +235% |
| First Health | Commercial|All Plans | $27.75 | ↑ +244% |
| BCBS - Anthem | Medicare|All Other Plans | $28.15 | ↑ +249% |
| Kaiser | Commercial|All Plans | $29.23 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $29.60 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $29.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $29.60 | ↑ +267% |
| Humana | Commercial|All Plans | $29.85 | ↑ +270% |
| Aetna | Medicare|All Plans | $29.85 | ↑ +270% |
| Molina | Medicare|All Plans | $29.85 | ↑ +270% |
| United | Medicare|All Plans | $29.85 | ↑ +270% |
| Kaiser | Medicare|All Plans | $29.85 | ↑ +270% |
| Blue Shield CA | Medicare|HMO | $29.85 | ↑ +270% |
| Blue Shield CA | Medicare|PPO | $29.85 | ↑ +270% |
| Hill Physicians | Commercial|All Plans | $29.85 | ↑ +270% |
| Hill Physicians | Medicare|All Plans | $29.85 | ↑ +270% |
| BCBS - Anthem | Medicare|Imperial | $30.75 | ↑ +281% |
| BrightHealth | Commercial|All Plans | $32.84 | ↑ +307% |
| United | Commercial|HMO | $35.82 | ↑ +344% |
| United | Commercial|Non-Options PPO | $35.82 | ↑ +344% |
| United | Commercial|All Other Plans | $35.82 | ↑ +344% |
| Aetna | Commercial|PPO | $37.00 | ↑ +358% |
| Aetna | Commercial|All Other Plans | $37.00 | ↑ +358% |
| Aetna | Commercial|HMO | $37.00 | ↑ +358% |
| BCBS - Anthem | Commercial|All Other Plans | $37.00 | ↑ +358% |
| BCBS - Anthem | Commercial|MCS | $37.00 | ↑ +358% |
| Prison Healthcare | Medicaid|All Plans | $44.77 | ↑ +455% |
| Cigna | Commercial|LocalPlus | $66.10 | ↑ +719% |
| Cigna | Commercial|All Other Plans | $88.13 | ↑ +992% |
Visitor-reported prices
Comments
Assay of osteocalcin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $10.66 | $12.95 – $66.10 |
| Banner Lassen Medical Center | Susanville | $8.76 | $5.74 – $13.58 |
| Petaluma Valley Hospital | Petaluma | $73.95 | $29.25 – $95.57 |
| Arroyo Grande Hospital | Santa Maria | $15.84 | $18.50 – $76.90 |
| Mark Twain Medical Center | San Andreas | $24.65 | $20.03 – $36.26 |
| French Hospital | San Luis Obispo | $14.51 | $9.99 – $90.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13.73 | $18.50 – $85.77 |
| Bakersfield Memorial Hospital | Bakersfield | $13.58 | $18.50 – $85.77 |