Cold agglutinin screen (arc) at Mercy General Hospital

4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$15.26

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$70.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.46 with Partnership Health Plan vs $44.00 with BCBS - Anthem — 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 →

Payer
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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
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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 $6.46 ↓ -58%
BCBS - Anthem Medicare|All Other Plans $7.61 ↓ -50%
Hill Physicians Medicare|All Plans $8.07 ↓ -47%
Aetna Medicare|All Plans $8.07 ↓ -47%
Hill Physicians Commercial|All Plans $8.07 ↓ -47%
Kaiser Medicare|All Plans $8.07 ↓ -47%
Humana Commercial|All Plans $8.07 ↓ -47%
Molina Medicare|All Plans $8.07 ↓ -47%
United Medicare|All Plans $8.07 ↓ -47%
Blue Shield CA Medicare|PPO $8.07 ↓ -47%
Blue Shield CA Medicare|HMO $8.07 ↓ -47%
BCBS - Anthem Medicare|Imperial $8.31 ↓ -46%
BrightHealth Commercial|All Plans $8.88 ↓ -42%
United Medicaid|< 21 $9.27 ↓ -39%
United Medicaid|> 21 $9.27 ↓ -39%
United Commercial|HMO $9.68 ↓ -37%
United Commercial|All Other Plans $9.68 ↓ -37%
United Commercial|Non-Options PPO $9.68 ↓ -37%
Hill Physicians Medicaid|All Plans $10.20 ↓ -33%
Prison Healthcare Medicaid|All Plans $12.11 ↓ -21%
Molina Medicaid|All Plans $12.14 ↓ -20%
Western Health Advantage Commercial|All Plans $15.40 ↑ +1%
BCBS - Anthem Medicaid|All Plans $16.25 ↑ +6%
Cigna Commercial|LocalPlus $17.89 ↑ +17%
Kaiser Medicaid|All Plans $18.04 ↑ +18%
Blue Shield CA Commercial|ACO Trio CalPers $20.68 ↑ +36%
Health Net Medicaid|All Plans $21.51 ↑ +41%
California Health & Wellness Medicaid|All Plans $21.51 ↑ +41%
Blue Shield CA Commercial|Exchange $22.00 ↑ +44%
Cigna Commercial|All Other Plans $23.85 ↑ +56%
Aetna Commercial|All Other Plans $24.49 ↑ +60%
Aetna Commercial|PPO $24.49 ↑ +60%
Aetna Commercial|HMO $24.49 ↑ +60%
Blue Shield CA Commercial|HMO $29.92 ↑ +96%
Healthsmart Commercial|All Plans $31.68 ↑ +108%
Blue Shield CA Commercial|CalPers $32.12 ↑ +110%
Blue Shield CA Commercial|All Other Plans $32.12 ↑ +110%
First Health Commercial|All Plans $33.00 ↑ +116%
Kaiser Commercial|All Plans $34.76 ↑ +128%
BCBS - Anthem Commercial|Connection EPO $35.20 ↑ +131%
Sutter Health Commercial|All Plans $35.20 ↑ +131%
MultiPlan Commercial|All Plans $35.20 ↑ +131%
BCBS - Anthem Commercial|All Other Plans $44.00 ↑ +188%
BCBS - Anthem Commercial|MCS $44.00 ↑ +188%

Visitor-reported prices

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Cold agglutinin screen (arc) at other California hospitals

Hospital City Cash price Negotiated range
Methodist Hospital of Sacramento Sacramento $20.16 $6.46 – $36.52
Banner Lassen Medical Center Susanville $59.24 $1.61 – $20.37
Arroyo Grande Hospital Santa Maria $9.21 $8.07 – $21.07
French Hospital San Luis Obispo $8.43 $5.81 – $24.47
Sierra Nevada Memorial Hospital Grass Valley $311.74 $8.07 – $68.60
Providence Cedars-Sinai Tarzana Medical Center Tarzana $10.71 $8.07 – $17.88
California Hospital Medical Center Los Angeles $41.23 $8.07 – $67.15
St. Mary Medical Center Long Beach $30.10 $5.13 – $46.35

All California hospitals for this procedure →