Cell function assay w/stim at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$41.68
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.
$191.19
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.
$49.28 with Western Health Advantage vs $401.19 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 | $49.28 | ↑ +18% |
| Kaiser | Medicaid|All Plans | $57.73 | ↑ +39% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $66.18 | ↑ +59% |
| Blue Shield CA | Commercial|Exchange | $70.40 | ↑ +69% |
| Blue Shield CA | Commercial|HMO | $95.75 | ↑ +130% |
| Healthsmart | Commercial|All Plans | $101.38 | ↑ +143% |
| Blue Shield CA | Commercial|CalPers | $102.79 | ↑ +147% |
| Blue Shield CA | Commercial|All Other Plans | $102.79 | ↑ +147% |
| First Health | Commercial|All Plans | $105.60 | ↑ +153% |
| Kaiser | Commercial|All Plans | $111.24 | ↑ +167% |
| MultiPlan | Commercial|All Plans | $112.64 | ↑ +170% |
| BCBS - Anthem | Commercial|Connection EPO | $112.64 | ↑ +170% |
| Sutter Health | Commercial|All Plans | $112.64 | ↑ +170% |
| BCBS - Anthem | Medicare|All Other Plans | $128.12 | ↑ +207% |
| Humana | Commercial|All Plans | $135.86 | ↑ +226% |
| Aetna | Medicare|All Plans | $135.86 | ↑ +226% |
| Molina | Medicare|All Plans | $135.86 | ↑ +226% |
| United | Medicare|All Plans | $135.86 | ↑ +226% |
| Kaiser | Medicare|All Plans | $135.86 | ↑ +226% |
| Blue Shield CA | Medicare|HMO | $135.86 | ↑ +226% |
| Blue Shield CA | Medicare|PPO | $135.86 | ↑ +226% |
| Hill Physicians | Commercial|All Plans | $135.86 | ↑ +226% |
| Hill Physicians | Medicare|All Plans | $135.86 | ↑ +226% |
| BCBS - Anthem | Medicare|Imperial | $139.94 | ↑ +236% |
| United | Commercial|Non-Options PPO | $140.80 | ↑ +238% |
| United | Commercial|HMO | $140.80 | ↑ +238% |
| Aetna | Commercial|All Other Plans | $140.80 | ↑ +238% |
| United | Commercial|All Other Plans | $140.80 | ↑ +238% |
| Aetna | Commercial|HMO | $140.80 | ↑ +238% |
| Aetna | Commercial|PPO | $140.80 | ↑ +238% |
| BCBS - Anthem | Commercial|All Other Plans | $140.80 | ↑ +238% |
| BCBS - Anthem | Commercial|MCS | $140.80 | ↑ +238% |
| BrightHealth | Commercial|All Plans | $149.45 | ↑ +259% |
| Prison Healthcare | Medicaid|All Plans | $203.79 | ↑ +389% |
| Cigna | Commercial|LocalPlus | $300.87 | ↑ +622% |
| Cigna | Commercial|All Other Plans | $401.19 | ↑ +863% |
Visitor-reported prices
Comments
Cell function assay w/stim at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $55.07 | $49.28 – $300.87 |
| Banner Lassen Medical Center | Susanville | $90.45 | $27.17 – $137.74 |
| Arroyo Grande Hospital | Santa Maria | $136.37 | $12.87 – $350.06 |
| Mark Twain Medical Center | San Andreas | $53.85 | $13.94 – $25.74 |
| French Hospital | San Luis Obispo | $124.90 | $6.95 – $411.52 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $145.00 | $42.05 – $80.85 |
| Dominican Hospital | Santa Cruz | $63.36 | $64.77 – $1,216.56 |
| Northridge Hospital Medical Center | Northridge | $39.29 | $19.72 – $247.71 |