Clotting assay whole blood at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$131.68
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.
$604.00
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.
$17.73 with Partnership Health Plan vs $483.20 with MultiPlan — 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 | $17.73 | ↓ -87% |
| United | Medicaid|< 21 | $17.73 | ↓ -87% |
| United | Medicaid|> 21 | $17.73 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $19.47 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $19.50 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $20.57 | ↓ -84% |
| United | Commercial|HMO | $23.87 | ↓ -82% |
| United | Commercial|All Other Plans | $23.87 | ↓ -82% |
| United | Commercial|Non-Options PPO | $23.87 | ↓ -82% |
| Molina | Medicaid|All Plans | $33.33 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $33.69 | ↓ -74% |
| California Health & Wellness | Medicaid|All Plans | $41.13 | ↓ -69% |
| Health Net | Medicaid|All Plans | $41.13 | ↓ -69% |
| Cigna | Commercial|LocalPlus | $43.68 | ↓ -67% |
| Aetna | Commercial|PPO | $49.83 | ↓ -62% |
| Aetna | Commercial|HMO | $49.83 | ↓ -62% |
| Aetna | Commercial|All Other Plans | $49.83 | ↓ -62% |
| Cigna | Commercial|All Other Plans | $58.24 | ↓ -56% |
| Western Health Advantage | Commercial|All Plans | $211.40 | ↑ +61% |
| BCBS - Anthem | Commercial|Connection EPO | $227.24 | ↑ +73% |
| Kaiser | Medicaid|All Plans | $247.64 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $283.88 | ↑ +116% |
| BCBS - Anthem | Commercial|All Other Plans | $283.93 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $302.00 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $410.72 | ↑ +212% |
| BCBS - Anthem | Commercial|MCS | $411.61 | ↑ +213% |
| Healthsmart | Commercial|All Plans | $434.88 | ↑ +230% |
| Blue Shield CA | Commercial|All Other Plans | $440.92 | ↑ +235% |
| Blue Shield CA | Commercial|CalPers | $440.92 | ↑ +235% |
| First Health | Commercial|All Plans | $453.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $477.16 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $483.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $483.20 | ↑ +267% |
Visitor-reported prices
Comments
Clotting assay whole blood at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $173.96 | $17.73 – $501.32 |
| Arroyo Grande Hospital | Santa Maria | $43.66 | $17.73 – $67.00 |
| French Hospital | San Luis Obispo | $39.99 | $17.73 – $67.00 |
| Dominican Hospital | Santa Cruz | $144.90 | $17.73 – $273.70 |
| Sierra Nevada Memorial Hospital | Grass Valley | $275.23 | $17.73 – $494.90 |
| Mercy San Juan Medical Center | Carmichael | $165.50 | $17.73 – $501.32 |
| Mercy Hospital of Folsom | Folsom | $234.96 | $17.73 – $495.28 |
| Woodland Memorial Hospital | Woodland | $165.50 | $17.73 – $604.00 |