Blood occult feces colorectal neoplasm screening qualitative at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$12.21
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.
$56.00
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.
$2.92 with Partnership Health Plan vs $56.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $2.92 | ↓ -76% |
| BCBS - Anthem | Medicare|All Other Plans | $4.13 | ↓ -66% |
| United | Medicaid|> 21 | $4.19 | ↓ -66% |
| United | Medicaid|< 21 | $4.19 | ↓ -66% |
| Blue Shield CA | Medicare|HMO | $4.38 | ↓ -64% |
| Hill Physicians | Medicare|All Plans | $4.38 | ↓ -64% |
| Aetna | Medicare|All Plans | $4.38 | ↓ -64% |
| Molina | Medicare|All Plans | $4.38 | ↓ -64% |
| United | Medicare|All Plans | $4.38 | ↓ -64% |
| Humana | Commercial|All Plans | $4.38 | ↓ -64% |
| Hill Physicians | Commercial|All Plans | $4.38 | ↓ -64% |
| Kaiser | Medicare|All Plans | $4.38 | ↓ -64% |
| Blue Shield CA | Medicare|PPO | $4.38 | ↓ -64% |
| BCBS - Anthem | Medicare|Imperial | $4.51 | ↓ -63% |
| Hill Physicians | Medicaid|All Plans | $4.61 | ↓ -62% |
| BrightHealth | Commercial|All Plans | $4.82 | ↓ -61% |
| United | Commercial|Non-Options PPO | $5.26 | ↓ -57% |
| United | Commercial|All Other Plans | $5.26 | ↓ -57% |
| United | Commercial|HMO | $5.26 | ↓ -57% |
| Molina | Medicaid|All Plans | $5.49 | ↓ -55% |
| Prison Healthcare | Medicaid|All Plans | $6.57 | ↓ -46% |
| BCBS - Anthem | Medicaid|All Plans | $6.59 | ↓ -46% |
| Cigna | Commercial|LocalPlus | $9.71 | ↓ -20% |
| California Health & Wellness | Medicaid|All Plans | $9.72 | ↓ -20% |
| Health Net | Medicaid|All Plans | $9.72 | ↓ -20% |
| Aetna | Commercial|HMO | $11.89 | ↓ -3% |
| Aetna | Commercial|PPO | $11.89 | ↓ -3% |
| Aetna | Commercial|All Other Plans | $11.89 | ↓ -3% |
| Cigna | Commercial|All Other Plans | $12.95 | ↑ +6% |
| Western Health Advantage | Commercial|All Plans | $19.60 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $22.96 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $26.32 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $28.00 | ↑ +129% |
| BCBS - Anthem | Commercial|Connection EPO | $35.58 | ↑ +191% |
| Blue Shield CA | Commercial|HMO | $38.08 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $40.32 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $40.88 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $40.88 | ↑ +235% |
| First Health | Commercial|All Plans | $42.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $44.24 | ↑ +262% |
| BCBS - Anthem | Commercial|All Other Plans | $44.46 | ↑ +264% |
| MultiPlan | Commercial|All Plans | $44.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $44.80 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $56.00 | ↑ +359% |
Visitor-reported prices
Comments
Blood occult feces colorectal neoplasm screening qualitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $16.13 | $2.92 – $46.48 |
| St. John's Camarillo Hospital | Camarillo | $37.67 | $4.38 – $13.67 |
| Banner Lassen Medical Center | Susanville | $8.76 | $0.88 – $13.58 |
| Petaluma Valley Hospital | Petaluma | $111.69 | $4.29 – $20.50 |
| Arroyo Grande Hospital | Santa Maria | $62.49 | $3.56 – $11.76 |
| Mark Twain Medical Center | San Andreas | $56.61 | $4.19 – $83.30 |
| French Hospital | San Luis Obispo | $57.24 | $3.24 – $13.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $74.58 | $4.10 – $39.20 |