Blood draw capillary 36416 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6.33
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.
$29.00
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.
$3.77 with United vs $6,582.00 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|All Other Plans | $3.77 | ↓ -40% |
| United | Commercial|HMO | $3.77 | ↓ -40% |
| United | Commercial|Non-Options PPO | $3.77 | ↓ -40% |
| Cigna | Commercial|LocalPlus | $6.88 | ↑ +9% |
| Cigna | Commercial|All Other Plans | $9.18 | ↑ +45% |
| Western Health Advantage | Commercial|All Plans | $10.15 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $11.89 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13.63 | ↑ +115% |
| Blue Shield CA | Commercial|Exchange | $14.50 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $19.72 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $20.88 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $21.17 | ↑ +234% |
| Blue Shield CA | Commercial|All Other Plans | $21.17 | ↑ +234% |
| First Health | Commercial|All Plans | $21.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $22.91 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $23.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $23.20 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +57262% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +71606% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +103881% |
Visitor-reported prices
Comments
Blood draw capillary 36416 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $8.36 | $3.77 – $24.07 |
| St. John's Camarillo Hospital | Camarillo | $113.01 | $3.77 – $214.14 |
| Banner Lassen Medical Center | Susanville | $23.53 | $13.94 – $32.98 |
| Petaluma Valley Hospital | Petaluma | $19.38 | $5.78 – $5.78 |
| Arroyo Grande Hospital | Santa Maria | $35.53 | $3.77 – $81.34 |
| Mark Twain Medical Center | San Andreas | $35.30 | $13.72 – $51.94 |
| French Hospital | San Luis Obispo | $36.46 | $3.77 – $58.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2.97 | $3.77 – $8.93 |