Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,943.04
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.
$8,913.00
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.
$74.82 with Hill Physicians vs $8,480.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $74.82 | ↓ -96% |
| United | Medicaid|< 21 | $154.13 | ↓ -92% |
| United | Medicaid|> 21 | $154.13 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $169.54 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $191.77 | ↓ -90% |
| Molina | Medicaid|All Plans | $289.76 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $292.98 | ↓ -85% |
| Health Net | Medicaid|All Plans | $357.58 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $357.58 | ↓ -82% |
| Western Health Advantage | Commercial|All Plans | $529.20 | ↓ -73% |
| Kaiser | Medicaid|All Plans | $619.92 | ↓ -68% |
| Partnership Health Plan | Medicaid|All Plans | $662.76 | ↓ -66% |
| Healthsmart | Commercial|All Plans | $1,088.64 | ↓ -44% |
| First Health | Commercial|All Plans | $1,134.00 | ↓ -42% |
| Kaiser | Commercial|All Plans | $1,194.48 | ↓ -39% |
| Sutter Health | Commercial|All Plans | $1,209.60 | ↓ -38% |
| MultiPlan | Commercial|All Plans | $1,209.60 | ↓ -38% |
| BCBS - Anthem | Medicare|All Other Plans | $1,425.82 | ↓ -27% |
| United | Commercial|Non-Options PPO | $1,512.00 | ↓ -22% |
| Molina | Medicare|All Plans | $1,512.00 | ↓ -22% |
| Humana | Commercial|All Plans | $1,512.00 | ↓ -22% |
| Blue Shield CA | Medicare|PPO | $1,512.00 | ↓ -22% |
| Aetna | Medicare|All Plans | $1,512.00 | ↓ -22% |
| BCBS - Anthem | Medicare|Imperial | $1,557.36 | ↓ -20% |
| BrightHealth | Commercial|All Plans | $1,663.20 | ↓ -14% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +87% |
| Blue Shield CA | Medicare|HMO | $3,761.02 | ↑ +94% |
| United | Medicare|All Plans | $3,761.02 | ↑ +94% |
| Kaiser | Medicare|All Plans | $3,761.02 | ↑ +94% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +134% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +137% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +157% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +157% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +157% |
| Prison Healthcare | Medicaid|All Plans | $5,641.53 | ↑ +190% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +239% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +336% |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,566.95 | $74.82 – $1,512.00 |
| St. John's Camarillo Hospital | Camarillo | $1,011.78 | $233.18 – $4,620.00 |
| Arroyo Grande Hospital | Santa Maria | $2,835.93 | $154.13 – $6,298.46 |
| Mark Twain Medical Center | San Andreas | $173.83 | $53.04 – $200.90 |
| French Hospital | San Luis Obispo | $2,493.52 | $154.13 – $4,870.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,550.63 | $154.13 – $3,819.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,523.13 | $154.13 – $3,771.46 |
| Queen of The Valley Medical Center | Napa | $5,139.78 | $1,727.00 – $9,858.00 |