Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5.67
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.
$26.00
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.
$0.02 with BCBS - Anthem vs $15.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $0.02 | ↓ -100% |
| United | Medicaid|< 21 | $0.74 | ↓ -87% |
| Partnership Health Plan | Medicaid|All Plans | $0.74 | ↓ -87% |
| United | Medicaid|> 21 | $0.74 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $0.81 | ↓ -86% |
| Molina | Medicaid|All Plans | $1.39 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $1.72 | ↓ -70% |
| Health Net | Medicaid|All Plans | $1.72 | ↓ -70% |
| Health Net | Commercial|EPPO | $2.24 | ↓ -60% |
| Blue Shield CA | Commercial|All Other Plans | $3.11 | ↓ -45% |
| Blue Shield CA | Commercial|CalPers | $3.11 | ↓ -45% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3.11 | ↓ -45% |
| Blue Shield CA | Commercial|HMO | $3.11 | ↓ -45% |
| Blue Shield CA | Commercial|Exchange | $3.11 | ↓ -45% |
| Health Net | Commercial|FFS | $4.17 | ↓ -26% |
| Western Health Advantage | Commercial|All Plans | $4.82 | ↓ -15% |
| Kaiser | Medicaid|All Plans | $6.15 | ↑ +8% |
| Aetna | Commercial|All Other Plans | $9.68 | ↑ +71% |
| Aetna | Commercial|HMO | $9.68 | ↑ +71% |
| Aetna | Commercial|PPO | $9.68 | ↑ +71% |
| BCBS - Anthem | Commercial|Connection EPO | $10.59 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $10.80 | ↑ +90% |
| First Health | Commercial|All Plans | $11.25 | ↑ +98% |
| United | Commercial|Non-Options PPO | $11.76 | ↑ +107% |
| United | Commercial|All Other Plans | $11.78 | ↑ +108% |
| United | Commercial|HMO | $11.78 | ↑ +108% |
| Kaiser | Commercial|All Plans | $11.85 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $12.00 | ↑ +112% |
| Sutter Health | Commercial|All Plans | $12.00 | ↑ +112% |
| BCBS - Anthem | Commercial|All Other Plans | $13.24 | ↑ +134% |
| BCBS - Anthem | Commercial|MCS | $15.00 | ↑ +165% |
Visitor-reported prices
Comments
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | $11.42 | $1.20 – $9.60 |
| Mercy Medical Center Merced | Merced | $13.39 | $0.01 – $15.00 |
| Dominican Hospital | Santa Cruz | $21.15 | $0.74 – $39.95 |
| Northridge Hospital Medical Center | Northridge | $6.42 | $0.01 – $23.00 |
| Sequoia Hospital | Redwood City | $17.11 | $0.74 – $38.54 |
| St. Mary Medical Center | Long Beach | $24.94 | $0.01 – $58.00 |
| Glendale Memorial Hospital Health Center | Glendale | $19.89 | $0.01 – $48.80 |
| Mercy Medical Center Redding | Redding | $14.20 | $0.02 – $22.54 |