Collection of venous blood by venipuncture at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$11.78
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.
$54.00
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.
$3.60 with United vs $18,179.00 with Blue Shield CA — 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $3.60 | ↓ -69% |
| United | Commercial|HMO | $3.60 | ↓ -69% |
| United | Commercial|Non-Options PPO | $3.60 | ↓ -69% |
| Cigna | Commercial|LocalPlus | $6.64 | ↓ -44% |
| BCBS - Anthem | Medicare|All Other Plans | $8.57 | ↓ -27% |
| Cigna | Commercial|All Other Plans | $8.86 | ↓ -25% |
| Humana | Commercial|All Plans | $9.09 | ↓ -23% |
| Aetna | Medicare|All Plans | $9.09 | ↓ -23% |
| Molina | Medicare|All Plans | $9.09 | ↓ -23% |
| United | Medicare|All Plans | $9.09 | ↓ -23% |
| Kaiser | Medicare|All Plans | $9.09 | ↓ -23% |
| Blue Shield CA | Medicare|HMO | $9.09 | ↓ -23% |
| Blue Shield CA | Medicare|PPO | $9.09 | ↓ -23% |
| Hill Physicians | Commercial|All Plans | $9.09 | ↓ -23% |
| BCBS - Anthem | Medicare|Imperial | $9.36 | ↓ -21% |
| BrightHealth | Commercial|All Plans | $10.00 | ↓ -15% |
| Prison Healthcare | Medicaid|All Plans | $13.63 | ↑ +16% |
| Western Health Advantage | Commercial|All Plans | $18.90 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $22.14 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $38.88 | ↑ +230% |
| First Health | Commercial|All Plans | $40.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $42.66 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $43.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $43.20 | ↑ +267% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,592.00 | ↑ +98304% |
| Blue Shield CA | Commercial|Exchange | $11,842.00 | ↑ +100426% |
| Blue Shield CA | Commercial|HMO | $16,713.00 | ↑ +141776% |
| Blue Shield CA | Commercial|CalPers | $18,072.00 | ↑ +153313% |
| Blue Shield CA | Commercial|All Other Plans | $18,179.00 | ↑ +154221% |
Visitor-reported prices
Comments
Collection of venous blood by venipuncture at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $15.56 | $3.60 – $44.82 |
| St. John's Camarillo Hospital | Camarillo | $42.05 | $3.24 – $17.14 |
| Banner Lassen Medical Center | Susanville | $23.53 | $1.82 – $32.98 |
| Petaluma Valley Hospital | Petaluma | $44.37 | $6.00 – $16.71 |
| Arroyo Grande Hospital | Santa Maria | $39.38 | $3.00 – $9.00 |
| Mark Twain Medical Center | San Andreas | $75.93 | $4.88 – $9.00 |
| French Hospital | San Luis Obispo | $36.07 | $2.43 – $9.09 |
| Mercy Hospitals – Bakersfield | Bakersfield | $39.70 | $3.60 – $44.00 |