Bivalirudin at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$991.90
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.
$4,550.00
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.
$0.16 with Hill Physicians vs $345.60 with MultiPlan — 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 | $0.16 | ↓ -100% |
| Health Net | Commercial|EPPO | $0.26 | ↓ -100% |
| United | Commercial|All Other Plans | $0.26 | ↓ -100% |
| United | Commercial|HMO | $0.26 | ↓ -100% |
| Aetna | Commercial|HMO | $0.31 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $0.31 | ↓ -100% |
| Aetna | Commercial|PPO | $0.31 | ↓ -100% |
| Cigna | Commercial|LocalPlus | $0.35 | ↓ -100% |
| Blue Shield CA | Commercial|CalPers | $0.36 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $0.36 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $0.36 | ↓ -100% |
| Blue Shield CA | Commercial|HMO | $0.36 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $0.36 | ↓ -100% |
| Hill Physicians | Medicare|All Plans | $0.45 | ↓ -100% |
| Cigna | Commercial|All Other Plans | $0.47 | ↓ -100% |
| Health Net | Commercial|FFS | $0.49 | ↓ -100% |
| United | Commercial|Non-Options PPO | $0.69 | ↓ -100% |
| Western Health Advantage | Commercial|All Plans | $1.92 | ↓ -100% |
| BCBS - Anthem | Commercial|Connection EPO | $4.71 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $5.88 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $8.53 | ↓ -99% |
| Kaiser | Medicaid|All Plans | $177.12 | ↓ -82% |
| Healthsmart | Commercial|All Plans | $311.04 | ↓ -69% |
| First Health | Commercial|All Plans | $324.00 | ↓ -67% |
| Kaiser | Commercial|All Plans | $341.28 | ↓ -66% |
| Sutter Health | Commercial|All Plans | $345.60 | ↓ -65% |
| MultiPlan | Commercial|All Plans | $345.60 | ↓ -65% |
Visitor-reported prices
Comments
Bivalirudin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,310.40 | $0.16 – $358.56 |
| St. John's Camarillo Hospital | Camarillo | $1,314.00 | $0.26 – $2,340.00 |
| Arroyo Grande Hospital | Santa Maria | $4,867.65 | $0.26 – $59.78 |
| French Hospital | San Luis Obispo | $4,458.22 | $0.26 – $59.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,679.52 | $0.19 – $156.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,661.41 | $0.25 – $154.05 |
| Queen of The Valley Medical Center | Napa | $2,428.61 | $0.31 – $2.24 |
| Providence St Joseph Hospital Eureka | Eureka | $2,428.61 | $0.32 – $2.67 |