Clot factor xiii fibrin scrn at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6.43
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.
$29.48
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.
$7.91 with Partnership Health Plan vs $29.48 with Aetna — 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 | $7.91 | ↑ +23% |
| BCBS - Anthem | Medicare|All Other Plans | $8.59 | ↑ +34% |
| Kaiser | Medicare|All Plans | $9.11 | ↑ +42% |
| Hill Physicians | Commercial|All Plans | $9.11 | ↑ +42% |
| United | Medicare|All Plans | $9.11 | ↑ +42% |
| Hill Physicians | Medicare|All Plans | $9.11 | ↑ +42% |
| Aetna | Medicare|All Plans | $9.11 | ↑ +42% |
| Humana | Commercial|All Plans | $9.11 | ↑ +42% |
| Blue Shield CA | Medicare|PPO | $9.11 | ↑ +42% |
| Blue Shield CA | Medicare|HMO | $9.11 | ↑ +42% |
| Molina | Medicare|All Plans | $9.11 | ↑ +42% |
| BCBS - Anthem | Medicare|Imperial | $9.38 | ↑ +46% |
| BrightHealth | Commercial|All Plans | $10.02 | ↑ +56% |
| Western Health Advantage | Commercial|All Plans | $10.32 | ↑ +60% |
| United | Commercial|HMO | $10.93 | ↑ +70% |
| United | Commercial|Non-Options PPO | $10.93 | ↑ +70% |
| United | Commercial|All Other Plans | $10.93 | ↑ +70% |
| United | Medicaid|< 21 | $11.35 | ↑ +77% |
| United | Medicaid|> 21 | $11.35 | ↑ +77% |
| Kaiser | Medicaid|All Plans | $12.09 | ↑ +88% |
| Hill Physicians | Medicaid|All Plans | $12.49 | ↑ +94% |
| Prison Healthcare | Medicaid|All Plans | $13.66 | ↑ +112% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13.86 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $14.74 | ↑ +129% |
| Molina | Medicaid|All Plans | $14.87 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $20.05 | ↑ +212% |
| Cigna | Commercial|LocalPlus | $20.17 | ↑ +214% |
| Healthsmart | Commercial|All Plans | $21.23 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $21.53 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $21.53 | ↑ +235% |
| First Health | Commercial|All Plans | $22.11 | ↑ +244% |
| BCBS - Anthem | Medicaid|All Plans | $22.14 | ↑ +244% |
| Kaiser | Commercial|All Plans | $23.29 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $23.59 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $23.59 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $23.59 | ↑ +267% |
| California Health & Wellness | Medicaid|All Plans | $26.33 | ↑ +309% |
| Health Net | Medicaid|All Plans | $26.33 | ↑ +309% |
| Cigna | Commercial|All Other Plans | $26.89 | ↑ +318% |
| Aetna | Commercial|All Other Plans | $29.48 | ↑ +358% |
| Aetna | Commercial|HMO | $29.48 | ↑ +358% |
| BCBS - Anthem | Commercial|All Other Plans | $29.48 | ↑ +358% |
| BCBS - Anthem | Commercial|MCS | $29.48 | ↑ +358% |
| Aetna | Commercial|PPO | $29.48 | ↑ +358% |
Visitor-reported prices
Comments
Clot factor xiii fibrin scrn at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $8.50 | $7.91 – $26.10 |
| St. John's Camarillo Hospital | Camarillo | $12.92 | $7.96 – $24.17 |
| Banner Lassen Medical Center | Susanville | $49.47 | $1.82 – $80.51 |
| Arroyo Grande Hospital | Santa Maria | $51.13 | $9.11 – $28.90 |
| French Hospital | San Luis Obispo | $46.83 | $7.96 – $28.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $10.94 | $9.11 – $27.35 |
| Bakersfield Memorial Hospital | Bakersfield | $10.82 | $9.11 – $26.17 |
| St. Joseph's Behavioral Health Center | Stockton | $16.84 | $2.95 – $23.59 |