Cladribine 10 mg/10 ml intravenous solution at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$455.19
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.
$2,088.00
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.
$10.20 with Partnership Health Plan vs $1,344.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $10.20 | ↓ -98% |
| Hill Physicians | Commercial|All Plans | $10.81 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $11.22 | ↓ -98% |
| BCBS - Anthem | Medicare|All Other Plans | $12.05 | ↓ -97% |
| Kaiser | Medicare|All Plans | $12.78 | ↓ -97% |
| Humana | Commercial|All Plans | $12.78 | ↓ -97% |
| Molina | Medicare|All Plans | $12.78 | ↓ -97% |
| Aetna | Medicare|All Plans | $12.78 | ↓ -97% |
| Blue Shield CA | Medicare|HMO | $12.78 | ↓ -97% |
| Blue Shield CA | Medicare|PPO | $12.78 | ↓ -97% |
| United | Medicare|All Plans | $12.78 | ↓ -97% |
| BCBS - Anthem | Medicare|Imperial | $13.16 | ↓ -97% |
| BrightHealth | Commercial|All Plans | $14.06 | ↓ -97% |
| United | Commercial|All Other Plans | $18.60 | ↓ -96% |
| United | Commercial|HMO | $18.60 | ↓ -96% |
| Prison Healthcare | Medicaid|All Plans | $19.17 | ↓ -96% |
| Molina | Medicaid|All Plans | $19.18 | ↓ -96% |
| Aetna | Commercial|HMO | $21.01 | ↓ -95% |
| Aetna | Commercial|All Other Plans | $21.01 | ↓ -95% |
| Aetna | Commercial|PPO | $21.01 | ↓ -95% |
| Hill Physicians | Medicare|All Plans | $21.02 | ↓ -95% |
| Health Net | Medicaid|All Plans | $23.66 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $23.66 | ↓ -95% |
| Cigna | Commercial|LocalPlus | $23.73 | ↓ -95% |
| United | Commercial|Non-Options PPO | $24.88 | ↓ -95% |
| Health Net | Commercial|EPPO | $30.24 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $31.64 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $40.32 | ↓ -91% |
| Blue Shield CA | Commercial|CalPers | $42.00 | ↓ -91% |
| Blue Shield CA | Commercial|All Other Plans | $42.00 | ↓ -91% |
| Blue Shield CA | Commercial|Exchange | $42.00 | ↓ -91% |
| Blue Shield CA | Commercial|HMO | $42.00 | ↓ -91% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $42.00 | ↓ -91% |
| Western Health Advantage | Commercial|All Plans | $42.39 | ↓ -91% |
| Health Net | Commercial|FFS | $56.28 | ↓ -88% |
| BCBS - Anthem | Commercial|Connection EPO | $156.27 | ↓ -66% |
| BCBS - Anthem | Commercial|All Other Plans | $195.34 | ↓ -57% |
| BCBS - Anthem | Commercial|MCS | $283.41 | ↓ -38% |
| Kaiser | Medicaid|All Plans | $688.80 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $1,209.60 | ↑ +166% |
| First Health | Commercial|All Plans | $1,260.00 | ↑ +177% |
| Kaiser | Commercial|All Plans | $1,327.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,344.00 | ↑ +195% |
| Sutter Health | Commercial|All Plans | $1,344.00 | ↑ +195% |
Visitor-reported prices
Comments
Cladribine 10 mg/10 ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $601.35 | $10.20 – $1,394.40 |
| St. John's Camarillo Hospital | Camarillo | $72.71 | $12.36 – $129.48 |
| Arroyo Grande Hospital | Santa Maria | $2,234.16 | $12.36 – $5,115.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $770.94 | $10.20 – $1,337.60 |
| Bakersfield Memorial Hospital | Bakersfield | $762.63 | $12.36 – $1,320.88 |
| Queen of The Valley Medical Center | Napa | $677.96 | $8.73 – $74.41 |
| Providence St Joseph Hospital Eureka | Eureka | $677.96 | $8.73 – $88.76 |
| St. Joseph's Medical Center Stockton | Stockton | $498.92 | $11.73 – $1,119.30 |