Coombs indirect titer reference at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$57.34
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.
$263.00
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.
$4.22 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 | $4.22 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $5.18 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $5.18 | ↓ -91% |
| United | Medicaid|> 21 | $6.05 | ↓ -89% |
| United | Medicaid|< 21 | $6.05 | ↓ -89% |
| United | Commercial|All Other Plans | $6.22 | ↓ -89% |
| United | Commercial|Non-Options PPO | $6.22 | ↓ -89% |
| United | Commercial|HMO | $6.22 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $6.66 | ↓ -88% |
| Molina | Medicaid|All Plans | $7.93 | ↓ -86% |
| Cigna | Commercial|LocalPlus | $11.48 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $12.39 | ↓ -78% |
| Health Net | Medicaid|All Plans | $14.04 | ↓ -76% |
| California Health & Wellness | Medicaid|All Plans | $14.04 | ↓ -76% |
| Cigna | Commercial|All Other Plans | $15.31 | ↓ -73% |
| Aetna | Commercial|PPO | $18.89 | ↓ -67% |
| Aetna | Commercial|HMO | $18.89 | ↓ -67% |
| Aetna | Commercial|All Other Plans | $18.89 | ↓ -67% |
| Western Health Advantage | Commercial|All Plans | $56.70 | ↓ -1% |
| Kaiser | Medicaid|All Plans | $66.42 | ↑ +16% |
| BCBS - Anthem | Commercial|Connection EPO | $73.27 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $76.14 | ↑ +33% |
| Blue Shield CA | Commercial|Exchange | $81.00 | ↑ +41% |
| BCBS - Anthem | Commercial|All Other Plans | $91.55 | ↑ +60% |
| Blue Shield CA | Commercial|HMO | $110.16 | ↑ +92% |
| Healthsmart | Commercial|All Plans | $116.64 | ↑ +103% |
| Blue Shield CA | Commercial|CalPers | $118.26 | ↑ +106% |
| Blue Shield CA | Commercial|All Other Plans | $118.26 | ↑ +106% |
| First Health | Commercial|All Plans | $121.50 | ↑ +112% |
| Kaiser | Commercial|All Plans | $127.98 | ↑ +123% |
| MultiPlan | Commercial|All Plans | $129.60 | ↑ +126% |
| Sutter Health | Commercial|All Plans | $129.60 | ↑ +126% |
| BCBS - Anthem | Commercial|MCS | $132.71 | ↑ +131% |
| BCBS - Anthem | Medicare|All Other Plans | $152.77 | ↑ +166% |
| Humana | Commercial|All Plans | $162.00 | ↑ +183% |
| Molina | Medicare|All Plans | $162.00 | ↑ +183% |
| Aetna | Medicare|All Plans | $162.00 | ↑ +183% |
| Blue Shield CA | Medicare|PPO | $162.00 | ↑ +183% |
| BCBS - Anthem | Medicare|Imperial | $166.86 | ↑ +191% |
| BrightHealth | Commercial|All Plans | $178.20 | ↑ +211% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +293% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +293% |
| United | Medicare|All Plans | $225.18 | ↑ +293% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +489% |
Visitor-reported prices
Comments
Coombs indirect titer reference at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $75.75 | $4.22 – $162.00 |
| St. John's Camarillo Hospital | Camarillo | $148.05 | $6.22 – $368.00 |
| Banner Lassen Medical Center | Susanville | $95.55 | $1.04 – $145.50 |
| Petaluma Valley Hospital | Petaluma | $547.74 | $10.36 – $229.59 |
| Arroyo Grande Hospital | Santa Maria | $243.11 | $5.94 – $16.00 |
| Mark Twain Medical Center | San Andreas | $175.16 | $5.18 – $147.98 |
| French Hospital | San Luis Obispo | $222.66 | $4.32 – $16.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $129.85 | $5.93 – $171.00 |