C-1 esterase, berinert at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,805.04
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.
$8,280.00
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.
$54.33 with Hill Physicians vs $6,624.00 with Sutter Health — 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 | Medicare|All Plans | $54.33 | ↓ -97% |
| Western Health Advantage | Commercial|All Plans | $63.83 | ↓ -96% |
| Health Net | Commercial|EPPO | $70.30 | ↓ -96% |
| Partnership Health Plan | Medicaid|All Plans | $72.27 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $76.60 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $79.50 | ↓ -96% |
| BCBS - Anthem | Medicare|All Other Plans | $94.01 | ↓ -95% |
| United | Commercial|Non-Options PPO | $94.71 | ↓ -95% |
| Humana | Commercial|All Plans | $99.69 | ↓ -94% |
| Aetna | Medicare|All Plans | $99.69 | ↓ -94% |
| Molina | Medicare|All Plans | $99.69 | ↓ -94% |
| United | Medicare|All Plans | $99.69 | ↓ -94% |
| Kaiser | Medicare|All Plans | $99.69 | ↓ -94% |
| Blue Shield CA | Medicare|HMO | $99.69 | ↓ -94% |
| Blue Shield CA | Medicare|PPO | $99.69 | ↓ -94% |
| Blue Shield CA | Commercial|All Other Plans | $102.52 | ↓ -94% |
| Blue Shield CA | Commercial|CalPers | $102.52 | ↓ -94% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $102.52 | ↓ -94% |
| Blue Shield CA | Commercial|HMO | $102.52 | ↓ -94% |
| Blue Shield CA | Commercial|Exchange | $102.52 | ↓ -94% |
| BCBS - Anthem | Medicare|Imperial | $102.68 | ↓ -94% |
| BCBS - Anthem | Commercial|Connection EPO | $104.31 | ↓ -94% |
| BrightHealth | Commercial|All Plans | $109.66 | ↓ -94% |
| United | Commercial|All Other Plans | $119.56 | ↓ -93% |
| United | Commercial|HMO | $119.56 | ↓ -93% |
| BCBS - Anthem | Commercial|All Other Plans | $130.39 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $130.85 | ↓ -93% |
| Molina | Medicaid|All Plans | $135.87 | ↓ -92% |
| Health Net | Commercial|FFS | $137.38 | ↓ -92% |
| Aetna | Commercial|HMO | $148.88 | ↓ -92% |
| Aetna | Commercial|All Other Plans | $148.88 | ↓ -92% |
| Aetna | Commercial|PPO | $148.88 | ↓ -92% |
| Prison Healthcare | Medicaid|All Plans | $149.53 | ↓ -92% |
| Health Net | Medicaid|All Plans | $167.67 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $167.67 | ↓ -91% |
| Cigna | Commercial|LocalPlus | $168.10 | ↓ -91% |
| BCBS - Anthem | Commercial|MCS | $189.18 | ↓ -90% |
| Cigna | Commercial|All Other Plans | $224.18 | ↓ -88% |
| Kaiser | Medicaid|All Plans | $3,394.80 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $5,961.60 | ↑ +230% |
| First Health | Commercial|All Plans | $6,210.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $6,541.20 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $6,624.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $6,624.00 | ↑ +267% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $8,859.60 | $61.95 – $20,286.00 |
| French Hospital | San Luis Obispo | $8,114.40 | $61.95 – $20,286.00 |
| Queen of The Valley Medical Center | Napa | $8,888.84 | $49.67 – $155.38 |
| Providence St Joseph Hospital Eureka | Eureka | $8,888.84 | $59.25 – $155.38 |
| St. Joseph's Medical Center Stockton | Stockton | $1,978.04 | $67.77 – $5,516.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $8,888.84 | $49.34 – $155.38 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,764.85 | $60.73 – $155.38 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $48.94 – $6,800.00 |