Carbamazepine total therapeutic drug level at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$72.82
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.
?
What you pay up front if you don't use insurance.
$334.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.61 with Partnership Health Plan vs $334.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.61 | ↓ -83% |
| BCBS - Anthem | Medicare|All Other Plans | $13.74 | ↓ -81% |
| Blue Shield CA | Medicare|HMO | $14.57 | ↓ -80% |
| Hill Physicians | Commercial|All Plans | $14.57 | ↓ -80% |
| Aetna | Medicare|All Plans | $14.57 | ↓ -80% |
| Kaiser | Medicare|All Plans | $14.57 | ↓ -80% |
| Blue Shield CA | Medicare|PPO | $14.57 | ↓ -80% |
| Molina | Medicare|All Plans | $14.57 | ↓ -80% |
| United | Medicare|All Plans | $14.57 | ↓ -80% |
| Humana | Commercial|All Plans | $14.57 | ↓ -80% |
| Hill Physicians | Medicare|All Plans | $14.57 | ↓ -80% |
| BCBS - Anthem | Medicare|Imperial | $15.01 | ↓ -79% |
| BrightHealth | Commercial|All Plans | $16.03 | ↓ -78% |
| United | Commercial|HMO | $17.48 | ↓ -76% |
| United | Commercial|All Other Plans | $17.48 | ↓ -76% |
| United | Commercial|Non-Options PPO | $17.48 | ↓ -76% |
| United | Medicaid|> 21 | $18.09 | ↓ -75% |
| United | Medicaid|< 21 | $18.09 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $19.90 | ↓ -73% |
| Prison Healthcare | Medicaid|All Plans | $21.86 | ↓ -70% |
| Molina | Medicaid|All Plans | $23.71 | ↓ -67% |
| Cigna | Commercial|LocalPlus | $32.26 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $37.03 | ↓ -49% |
| California Health & Wellness | Medicaid|All Plans | $41.97 | ↓ -42% |
| Health Net | Medicaid|All Plans | $41.97 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $43.02 | ↓ -41% |
| Aetna | Commercial|All Other Plans | $53.21 | ↓ -27% |
| Aetna | Commercial|PPO | $53.21 | ↓ -27% |
| Aetna | Commercial|HMO | $53.21 | ↓ -27% |
| Western Health Advantage | Commercial|All Plans | $116.90 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $136.94 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $156.98 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $167.00 | ↑ +129% |
| BCBS - Anthem | Commercial|Connection EPO | $206.35 | ↑ +183% |
| Blue Shield CA | Commercial|HMO | $227.12 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $240.48 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $243.82 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $243.82 | ↑ +235% |
| First Health | Commercial|All Plans | $250.50 | ↑ +244% |
| BCBS - Anthem | Commercial|All Other Plans | $257.83 | ↑ +254% |
| Kaiser | Commercial|All Plans | $263.86 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $267.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $267.20 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $334.00 | ↑ +359% |
Visitor-reported prices
Comments
Carbamazepine total therapeutic drug level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $96.20 | $12.61 – $277.22 |
| St. John's Camarillo Hospital | Camarillo | $208.49 | $3.20 – $38.66 |
| Banner Lassen Medical Center | Susanville | $27.54 | $2.91 – $42.68 |
| Petaluma Valley Hospital | Petaluma | $392.19 | $14.28 – $118.87 |
| Arroyo Grande Hospital | Santa Maria | $349.68 | $5.91 – $37.54 |
| Mark Twain Medical Center | San Andreas | $148.52 | $6.40 – $11.82 |
| French Hospital | San Luis Obispo | $320.27 | $3.19 – $44.13 |
| Mercy Hospitals – Bakersfield | Bakersfield | $268.98 | $14.57 – $105.60 |