Collection blood specimen using established central/peripheral catheter venous nos at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$109.00
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.
$500.00
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.
$32.59 with Hill Physicians vs $5,183.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Medicare|All Plans | $32.59 | ↓ -70% |
| Hill Physicians | Commercial|All Plans | $33.09 | ↓ -70% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↑ +47% |
| Kaiser | Medicare|All Plans | $169.39 | ↑ +55% |
| United | Medicare|All Plans | $169.39 | ↑ +55% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↑ +55% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↑ +55% |
| Molina | Medicare|All Plans | $169.39 | ↑ +55% |
| Humana | Commercial|All Plans | $169.39 | ↑ +55% |
| Aetna | Medicare|All Plans | $169.39 | ↑ +55% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↑ +60% |
| Western Health Advantage | Commercial|All Plans | $175.00 | ↑ +61% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +71% |
| Kaiser | Medicaid|All Plans | $205.00 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +133% |
| BCBS - Anthem | Commercial|Connection EPO | $333.52 | ↑ +206% |
| Healthsmart | Commercial|All Plans | $360.00 | ↑ +230% |
| First Health | Commercial|All Plans | $375.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $395.00 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $400.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $400.00 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $416.72 | ↑ +282% |
| BCBS - Anthem | Commercial|MCS | $500.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $500.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +2479% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +4655% |
Visitor-reported prices
Comments
Collection blood specimen using established central/peripheral catheter venous nos at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $144.00 | $32.59 – $415.00 |
| Banner Lassen Medical Center | Susanville | $217.78 | $25.78 – $302.64 |
| Petaluma Valley Hospital | Petaluma | $235.11 | $179.30 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $113.42 | $132.50 – $244.02 |
| Mark Twain Medical Center | San Andreas | $169.17 | $65.71 – $248.92 |
| French Hospital | San Luis Obispo | $103.88 | $71.55 – $259.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $89.04 | $64.80 – $192.00 |
| Bakersfield Memorial Hospital | Bakersfield | $92.49 | $64.80 – $189.60 |