Autologous blood process at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$124.92
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.
$573.00
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.
$178.99 with United vs $573.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| United | Commercial|Non-Options PPO | $178.99 | ↑ +43% |
| United | Commercial|All Other Plans | $178.99 | ↑ +43% |
| United | Commercial|HMO | $178.99 | ↑ +43% |
| Aetna | Commercial|PPO | $186.37 | ↑ +49% |
| Aetna | Commercial|All Other Plans | $186.37 | ↑ +49% |
| Aetna | Commercial|HMO | $186.37 | ↑ +49% |
| Western Health Advantage | Commercial|All Plans | $200.55 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $212.34 | ↑ +70% |
| Cigna | Commercial|LocalPlus | $222.24 | ↑ +78% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +80% |
| Aetna | Medicare|All Plans | $225.18 | ↑ +80% |
| Molina | Medicare|All Plans | $225.18 | ↑ +80% |
| United | Medicare|All Plans | $225.18 | ↑ +80% |
| Humana | Commercial|All Plans | $225.18 | ↑ +80% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +80% |
| Blue Shield CA | Medicare|PPO | $225.18 | ↑ +80% |
| BCBS - Anthem | Medicare|Imperial | $231.94 | ↑ +86% |
| Kaiser | Medicaid|All Plans | $234.93 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $247.70 | ↑ +98% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $269.31 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $286.50 | ↑ +129% |
| Cigna | Commercial|All Other Plans | $296.34 | ↑ +137% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +170% |
| Blue Shield CA | Commercial|HMO | $389.64 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $412.56 | ↑ +230% |
| Blue Shield CA | Commercial|All Other Plans | $418.29 | ↑ +235% |
| Blue Shield CA | Commercial|CalPers | $418.29 | ↑ +235% |
| First Health | Commercial|All Plans | $429.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $452.67 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $458.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $458.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $458.40 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $573.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $573.00 | ↑ +359% |
Visitor-reported prices
Comments
Autologous blood process at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $165.03 | $178.99 – $475.59 |
| St. John's Camarillo Hospital | Camarillo | $264.12 | $162.81 – $470.34 |
| Mercy Hospitals – Bakersfield | Bakersfield | $117.61 | $154.00 – $288.38 |
| Bakersfield Memorial Hospital | Bakersfield | $116.34 | $154.00 – $288.38 |
| St. Joseph's Behavioral Health Center | Stockton | $181.01 | $31.70 – $253.60 |
| St. Joseph's Medical Center Stockton | Stockton | $93.79 | $66.99 – $261.58 |
| Mercy Medical Center Merced | Merced | $175.62 | $98.89 – $320.54 |
| Dominican Hospital | Santa Cruz | $182.70 | $178.99 – $898.61 |