Bilirubin direct at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$28.78
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.
$132.00
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.
$4.41 with Partnership Health Plan vs $128.39 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $4.41 | ↓ -85% |
| BCBS - Anthem | Medicare|All Other Plans | $4.73 | ↓ -84% |
| Blue Shield CA | Medicare|HMO | $5.02 | ↓ -83% |
| Hill Physicians | Commercial|All Plans | $5.02 | ↓ -83% |
| Aetna | Medicare|All Plans | $5.02 | ↓ -83% |
| Kaiser | Medicare|All Plans | $5.02 | ↓ -83% |
| Blue Shield CA | Medicare|PPO | $5.02 | ↓ -83% |
| Molina | Medicare|All Plans | $5.02 | ↓ -83% |
| United | Medicare|All Plans | $5.02 | ↓ -83% |
| Humana | Commercial|All Plans | $5.02 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $5.02 | ↓ -83% |
| BCBS - Anthem | Medicare|Imperial | $5.17 | ↓ -82% |
| BrightHealth | Commercial|All Plans | $5.52 | ↓ -81% |
| United | Commercial|HMO | $6.02 | ↓ -79% |
| United | Commercial|All Other Plans | $6.02 | ↓ -79% |
| United | Commercial|Non-Options PPO | $6.02 | ↓ -79% |
| United | Medicaid|> 21 | $6.33 | ↓ -78% |
| United | Medicaid|< 21 | $6.33 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $6.96 | ↓ -76% |
| Prison Healthcare | Medicaid|All Plans | $7.53 | ↓ -74% |
| Molina | Medicaid|All Plans | $8.29 | ↓ -71% |
| Cigna | Commercial|LocalPlus | $11.11 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $11.55 | ↓ -60% |
| California Health & Wellness | Medicaid|All Plans | $14.69 | ↓ -49% |
| Health Net | Medicaid|All Plans | $14.69 | ↓ -49% |
| Cigna | Commercial|All Other Plans | $14.81 | ↓ -49% |
| Aetna | Commercial|All Other Plans | $18.33 | ↓ -36% |
| Aetna | Commercial|PPO | $18.33 | ↓ -36% |
| Aetna | Commercial|HMO | $18.33 | ↓ -36% |
| Western Health Advantage | Commercial|All Plans | $46.20 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $54.12 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $62.04 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $66.00 | ↑ +129% |
| BCBS - Anthem | Commercial|Connection EPO | $70.88 | ↑ +146% |
| BCBS - Anthem | Commercial|All Other Plans | $88.57 | ↑ +208% |
| Blue Shield CA | Commercial|HMO | $89.76 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $95.04 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $96.36 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $96.36 | ↑ +235% |
| First Health | Commercial|All Plans | $99.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $104.28 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $105.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $105.60 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $128.39 | ↑ +346% |
Visitor-reported prices
Comments
Bilirubin direct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $38.02 | $4.41 – $109.56 |
| St. John's Camarillo Hospital | Camarillo | $98.12 | $5.02 – $15.67 |
| Banner Lassen Medical Center | Susanville | $25.67 | $1.00 – $39.77 |
| Petaluma Valley Hospital | Petaluma | $192.27 | $4.92 – $40.83 |
| Arroyo Grande Hospital | Santa Maria | $124.55 | $4.56 – $12.92 |
| Mark Twain Medical Center | San Andreas | $56.61 | $5.02 – $12.30 |
| French Hospital | San Luis Obispo | $114.08 | $2.46 – $15.19 |
| Mercy Hospitals – Bakersfield | Bakersfield | $95.72 | $5.02 – $48.00 |