Coombs indirect qualitative each reagent red cell reference at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$79.79
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.
$366.00
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.
$5.09 with Partnership Health Plan vs $337.77 with Prison Healthcare — 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 | $5.09 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $5.72 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $5.72 | ↓ -93% |
| United | Commercial|All Other Plans | $6.86 | ↓ -91% |
| United | Commercial|Non-Options PPO | $6.86 | ↓ -91% |
| United | Commercial|HMO | $6.86 | ↓ -91% |
| United | Medicaid|< 21 | $7.30 | ↓ -91% |
| United | Medicaid|> 21 | $7.30 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $8.03 | ↓ -90% |
| Molina | Medicaid|All Plans | $9.57 | ↓ -88% |
| Cigna | Commercial|LocalPlus | $12.67 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $13.81 | ↓ -83% |
| Cigna | Commercial|All Other Plans | $16.90 | ↓ -79% |
| California Health & Wellness | Medicaid|All Plans | $16.94 | ↓ -79% |
| Health Net | Medicaid|All Plans | $16.94 | ↓ -79% |
| Aetna | Commercial|All Other Plans | $20.93 | ↓ -74% |
| Aetna | Commercial|HMO | $20.93 | ↓ -74% |
| Aetna | Commercial|PPO | $20.93 | ↓ -74% |
| BCBS - Anthem | Commercial|Connection EPO | $81.09 | ↑ +2% |
| BCBS - Anthem | Commercial|All Other Plans | $101.32 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $128.10 | ↑ +61% |
| BCBS - Anthem | Commercial|MCS | $146.88 | ↑ +84% |
| Kaiser | Medicaid|All Plans | $150.06 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $172.02 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $183.00 | ↑ +129% |
| BCBS - Anthem | Medicare|All Other Plans | $212.34 | ↑ +166% |
| Humana | Commercial|All Plans | $225.18 | ↑ +182% |
| United | Medicare|All Plans | $225.18 | ↑ +182% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +182% |
| Blue Shield CA | Medicare|PPO | $225.18 | ↑ +182% |
| Molina | Medicare|All Plans | $225.18 | ↑ +182% |
| Aetna | Medicare|All Plans | $225.18 | ↑ +182% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +182% |
| BCBS - Anthem | Medicare|Imperial | $231.94 | ↑ +191% |
| BrightHealth | Commercial|All Plans | $247.70 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $248.88 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $263.52 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $267.18 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $267.18 | ↑ +235% |
| First Health | Commercial|All Plans | $274.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $289.14 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $292.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $292.80 | ↑ +267% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +323% |
Visitor-reported prices
Comments
Coombs indirect qualitative each reagent red cell reference at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $105.41 | $5.09 – $303.78 |
| Petaluma Valley Hospital | Petaluma | $87.72 | $11.44 – $229.59 |
| Queen of The Valley Medical Center | Napa | $87.72 | $11.44 – $59.03 |
| Providence St Joseph Hospital Eureka | Eureka | $87.72 | $11.44 – $219.12 |
| Redwood Memorial Hospital | Fortuna | $166.26 | $67.10 – $67.10 |
| Santa Rosa Memorial Hospital | Santa Rosa | $87.72 | $11.44 – $237.06 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $73.53 | $5.09 – $92.61 |
| Dominican Hospital | Santa Cruz | $244.80 | $6.86 – $736.86 |