Cell marker study at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$20.35
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.
$93.33
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.
$30.80 with Western Health Advantage vs $327.01 with Cigna — 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $30.80 | ↑ +51% |
| Kaiser | Medicaid|All Plans | $36.08 | ↑ +77% |
| United | Commercial|All Other Plans | $59.71 | ↑ +193% |
| United | Commercial|Non-Options PPO | $59.71 | ↑ +193% |
| United | Commercial|HMO | $59.71 | ↑ +193% |
| Healthsmart | Commercial|All Plans | $63.35 | ↑ +211% |
| First Health | Commercial|All Plans | $65.99 | ↑ +224% |
| BCBS - Anthem | Medicare|All Other Plans | $66.21 | ↑ +225% |
| Kaiser | Commercial|All Plans | $69.51 | ↑ +242% |
| Humana | Commercial|All Plans | $70.21 | ↑ +245% |
| Molina | Medicare|All Plans | $70.21 | ↑ +245% |
| United | Medicare|All Plans | $70.21 | ↑ +245% |
| Blue Shield CA | Medicare|PPO | $70.21 | ↑ +245% |
| Aetna | Medicare|All Plans | $70.21 | ↑ +245% |
| Blue Shield CA | Medicare|HMO | $70.21 | ↑ +245% |
| Kaiser | Medicare|All Plans | $70.21 | ↑ +245% |
| MultiPlan | Commercial|All Plans | $70.39 | ↑ +246% |
| BCBS - Anthem | Commercial|Connection EPO | $70.39 | ↑ +246% |
| Sutter Health | Commercial|All Plans | $70.39 | ↑ +246% |
| BCBS - Anthem | Medicare|Imperial | $72.32 | ↑ +255% |
| BrightHealth | Commercial|All Plans | $77.23 | ↑ +280% |
| United | Medicaid|> 21 | $87.98 | ↑ +332% |
| BCBS - Anthem | Commercial|All Other Plans | $87.98 | ↑ +332% |
| BCBS - Anthem | Medicaid|All Plans | $87.98 | ↑ +332% |
| Aetna | Commercial|All Other Plans | $87.98 | ↑ +332% |
| BCBS - Anthem | Commercial|MCS | $87.98 | ↑ +332% |
| United | Medicaid|< 21 | $87.98 | ↑ +332% |
| Aetna | Commercial|HMO | $87.98 | ↑ +332% |
| Partnership Health Plan | Medicaid|All Plans | $87.98 | ↑ +332% |
| Health Net | Medicaid|All Plans | $87.98 | ↑ +332% |
| Aetna | Commercial|PPO | $87.98 | ↑ +332% |
| Hill Physicians | Medicaid|All Plans | $87.98 | ↑ +332% |
| Hill Physicians | Medicare|All Plans | $87.98 | ↑ +332% |
| Molina | Medicaid|All Plans | $87.98 | ↑ +332% |
| California Health & Wellness | Medicaid|All Plans | $87.98 | ↑ +332% |
| Hill Physicians | Commercial|All Plans | $87.98 | ↑ +332% |
| Prison Healthcare | Medicaid|All Plans | $105.31 | ↑ +417% |
| Cigna | Commercial|LocalPlus | $245.24 | ↑ +1105% |
| Cigna | Commercial|All Other Plans | $327.01 | ↑ +1507% |
Visitor-reported prices
Comments
Cell marker study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $26.88 | $30.80 – $245.24 |
| St. John's Camarillo Hospital | Camarillo | $41.61 | $25.65 – $293.82 |
| Arroyo Grande Hospital | Santa Maria | $38.52 | $45.00 – $285.33 |
| French Hospital | San Luis Obispo | $35.28 | $24.30 – $335.43 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $62.83 | $19.38 – $80.75 |
| Dominican Hospital | Santa Cruz | $48.27 | $59.71 – $991.60 |
| Northridge Hospital Medical Center | Northridge | $86.77 | $26.82 – $403.83 |
| Sierra Nevada Memorial Hospital | Grass Valley | $50.87 | $58.95 – $87.98 |