Bartonella dna pcr-sendout at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$8.33
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.
$38.21
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.
$13.38 with Western Health Advantage vs $103.63 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 | $13.38 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $15.67 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $17.96 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $19.11 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $25.99 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $27.52 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $27.90 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $27.90 | ↑ +235% |
| First Health | Commercial|All Plans | $28.66 | ↑ +244% |
| Kaiser | Commercial|All Plans | $30.19 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $30.57 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $30.57 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $30.57 | ↑ +267% |
| Partnership Health Plan | Medicaid|All Plans | $31.19 | ↑ +274% |
| BCBS - Anthem | Medicare|All Other Plans | $33.09 | ↑ +297% |
| Humana | Commercial|All Plans | $35.09 | ↑ +321% |
| Aetna | Medicare|All Plans | $35.09 | ↑ +321% |
| Molina | Medicare|All Plans | $35.09 | ↑ +321% |
| United | Medicare|All Plans | $35.09 | ↑ +321% |
| Kaiser | Medicare|All Plans | $35.09 | ↑ +321% |
| Blue Shield CA | Medicare|HMO | $35.09 | ↑ +321% |
| Blue Shield CA | Medicare|PPO | $35.09 | ↑ +321% |
| Hill Physicians | Commercial|All Plans | $35.09 | ↑ +321% |
| Hill Physicians | Medicare|All Plans | $35.09 | ↑ +321% |
| BCBS - Anthem | Medicare|Imperial | $36.14 | ↑ +334% |
| BCBS - Anthem | Commercial|MCS | $38.21 | ↑ +359% |
| United | Medicaid|> 21 | $38.21 | ↑ +359% |
| United | Medicaid|< 21 | $38.21 | ↑ +359% |
| United | Commercial|Non-Options PPO | $38.21 | ↑ +359% |
| United | Commercial|HMO | $38.21 | ↑ +359% |
| Aetna | Commercial|All Other Plans | $38.21 | ↑ +359% |
| United | Commercial|All Other Plans | $38.21 | ↑ +359% |
| Molina | Medicaid|All Plans | $38.21 | ↑ +359% |
| Aetna | Commercial|PPO | $38.21 | ↑ +359% |
| Aetna | Commercial|HMO | $38.21 | ↑ +359% |
| BCBS - Anthem | Medicaid|All Plans | $38.21 | ↑ +359% |
| California Health & Wellness | Medicaid|All Plans | $38.21 | ↑ +359% |
| Hill Physicians | Medicaid|All Plans | $38.21 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $38.21 | ↑ +359% |
| Health Net | Medicaid|All Plans | $38.21 | ↑ +359% |
| BrightHealth | Commercial|All Plans | $38.60 | ↑ +363% |
| Prison Healthcare | Medicaid|All Plans | $52.64 | ↑ +532% |
| Cigna | Commercial|LocalPlus | $77.71 | ↑ +833% |
| Cigna | Commercial|All Other Plans | $103.63 | ↑ +1144% |
Visitor-reported prices
Comments
Bartonella dna pcr-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $11.01 | $13.38 – $77.71 |
| Arroyo Grande Hospital | Santa Maria | $42.80 | $35.09 – $98.00 |
| French Hospital | San Luis Obispo | $39.20 | $27.00 – $106.29 |
| Mercy Hospitals – Bakersfield | Bakersfield | $37.10 | $35.09 – $100.84 |
| Bakersfield Memorial Hospital | Bakersfield | $36.70 | $35.09 – $100.84 |
| St. Joseph's Behavioral Health Center | Stockton | $57.10 | $10.00 – $80.00 |
| St. Joseph's Medical Center Stockton | Stockton | $29.40 | $21.00 – $100.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $77.80 | $31.19 – $98.00 |