C1 esterase inhibitor func - sendout at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$4.36
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.
$20.00
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.
$3.68 with Western Health Advantage vs $35.44 with Cigna — 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $3.68 | ↓ -16% |
| Kaiser | Medicaid|All Plans | $4.31 | ↓ -1% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4.94 | ↑ +13% |
| Blue Shield CA | Commercial|Exchange | $5.26 | ↑ +21% |
| Blue Shield CA | Commercial|HMO | $7.15 | ↑ +64% |
| Healthsmart | Commercial|All Plans | $7.57 | ↑ +74% |
| Blue Shield CA | Commercial|All Other Plans | $7.68 | ↑ +76% |
| Blue Shield CA | Commercial|CalPers | $7.68 | ↑ +76% |
| First Health | Commercial|All Plans | $7.89 | ↑ +81% |
| Kaiser | Commercial|All Plans | $8.31 | ↑ +91% |
| BCBS - Anthem | Commercial|Connection EPO | $8.41 | ↑ +93% |
| Sutter Health | Commercial|All Plans | $8.41 | ↑ +93% |
| MultiPlan | Commercial|All Plans | $8.41 | ↑ +93% |
| BCBS - Anthem | Medicare|All Other Plans | $9.92 | ↑ +128% |
| Kaiser | Medicare|All Plans | $10.51 | ↑ +141% |
| BCBS - Anthem | Commercial|All Other Plans | $10.51 | ↑ +141% |
| BCBS - Anthem | Medicaid|All Plans | $10.51 | ↑ +141% |
| BCBS - Anthem | Commercial|MCS | $10.51 | ↑ +141% |
| Blue Shield CA | Medicare|HMO | $10.51 | ↑ +141% |
| United | Commercial|All Other Plans | $10.51 | ↑ +141% |
| Aetna | Commercial|All Other Plans | $10.51 | ↑ +141% |
| Aetna | Commercial|PPO | $10.51 | ↑ +141% |
| Aetna | Medicare|All Plans | $10.51 | ↑ +141% |
| Aetna | Commercial|HMO | $10.51 | ↑ +141% |
| Molina | Medicaid|All Plans | $10.51 | ↑ +141% |
| Molina | Medicare|All Plans | $10.51 | ↑ +141% |
| Humana | Commercial|All Plans | $10.51 | ↑ +141% |
| United | Medicare|All Plans | $10.51 | ↑ +141% |
| United | Commercial|HMO | $10.51 | ↑ +141% |
| United | Commercial|Non-Options PPO | $10.51 | ↑ +141% |
| United | Medicaid|< 21 | $10.51 | ↑ +141% |
| United | Medicaid|> 21 | $10.51 | ↑ +141% |
| Health Net | Medicaid|All Plans | $10.51 | ↑ +141% |
| Partnership Health Plan | Medicaid|All Plans | $10.51 | ↑ +141% |
| California Health & Wellness | Medicaid|All Plans | $10.51 | ↑ +141% |
| Hill Physicians | Commercial|All Plans | $10.51 | ↑ +141% |
| Hill Physicians | Medicaid|All Plans | $10.51 | ↑ +141% |
| Hill Physicians | Medicare|All Plans | $10.51 | ↑ +141% |
| Blue Shield CA | Medicare|PPO | $10.51 | ↑ +141% |
| BCBS - Anthem | Medicare|Imperial | $10.83 | ↑ +148% |
| BrightHealth | Commercial|All Plans | $11.57 | ↑ +165% |
| Prison Healthcare | Medicaid|All Plans | $15.77 | ↑ +262% |
| Cigna | Commercial|LocalPlus | $26.57 | ↑ +509% |
| Cigna | Commercial|All Other Plans | $35.44 | ↑ +713% |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $5.76 | $3.68 – $26.57 |
| St. John's Camarillo Hospital | Camarillo | $5.62 | $3.47 – $31.84 |
| Banner Lassen Medical Center | Susanville | $86.00 | $2.40 – $17.61 |
| Petaluma Valley Hospital | Petaluma | $34.55 | $11.76 – $97.99 |
| Arroyo Grande Hospital | Santa Maria | $121.39 | $6.42 – $30.92 |
| Mark Twain Medical Center | San Andreas | $199.80 | $6.94 – $12.82 |
| French Hospital | San Luis Obispo | $111.18 | $3.47 – $36.35 |
| Mercy Hospitals – Bakersfield | Bakersfield | $37.10 | $6.53 – $34.48 |