#coxa-coxsackie a serotype a16 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$8.40
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.
?
What you pay up front if you don't use insurance.
$38.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.97 with Western Health Advantage vs $38.48 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $4.97 | ↓ -41% |
| Kaiser | Medicaid|All Plans | $5.82 | ↓ -31% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6.67 | ↓ -21% |
| Blue Shield CA | Commercial|Exchange | $7.09 | ↓ -16% |
| Blue Shield CA | Commercial|HMO | $9.65 | ↑ +15% |
| Healthsmart | Commercial|All Plans | $10.21 | ↑ +22% |
| Blue Shield CA | Commercial|CalPers | $10.36 | ↑ +23% |
| Blue Shield CA | Commercial|All Other Plans | $10.36 | ↑ +23% |
| First Health | Commercial|All Plans | $10.64 | ↑ +27% |
| Kaiser | Commercial|All Plans | $11.21 | ↑ +33% |
| MultiPlan | Commercial|All Plans | $11.35 | ↑ +35% |
| BCBS - Anthem | Commercial|Connection EPO | $11.35 | ↑ +35% |
| Sutter Health | Commercial|All Plans | $11.35 | ↑ +35% |
| Partnership Health Plan | Medicaid|All Plans | $11.58 | ↑ +38% |
| BCBS - Anthem | Medicare|All Other Plans | $12.29 | ↑ +46% |
| Humana | Commercial|All Plans | $13.03 | ↑ +55% |
| Aetna | Medicare|All Plans | $13.03 | ↑ +55% |
| Molina | Medicare|All Plans | $13.03 | ↑ +55% |
| United | Medicare|All Plans | $13.03 | ↑ +55% |
| Kaiser | Medicare|All Plans | $13.03 | ↑ +55% |
| Blue Shield CA | Medicare|HMO | $13.03 | ↑ +55% |
| Blue Shield CA | Medicare|PPO | $13.03 | ↑ +55% |
| Hill Physicians | Commercial|All Plans | $13.03 | ↑ +55% |
| Hill Physicians | Medicare|All Plans | $13.03 | ↑ +55% |
| BCBS - Anthem | Medicare|Imperial | $13.42 | ↑ +60% |
| BCBS - Anthem | Commercial|MCS | $14.18 | ↑ +69% |
| United | Medicaid|> 21 | $14.18 | ↑ +69% |
| United | Medicaid|< 21 | $14.18 | ↑ +69% |
| United | Commercial|Non-Options PPO | $14.18 | ↑ +69% |
| United | Commercial|HMO | $14.18 | ↑ +69% |
| Aetna | Commercial|All Other Plans | $14.18 | ↑ +69% |
| United | Commercial|All Other Plans | $14.18 | ↑ +69% |
| Molina | Medicaid|All Plans | $14.18 | ↑ +69% |
| Aetna | Commercial|PPO | $14.18 | ↑ +69% |
| Aetna | Commercial|HMO | $14.18 | ↑ +69% |
| BCBS - Anthem | Medicaid|All Plans | $14.18 | ↑ +69% |
| California Health & Wellness | Medicaid|All Plans | $14.18 | ↑ +69% |
| Hill Physicians | Medicaid|All Plans | $14.18 | ↑ +69% |
| BCBS - Anthem | Commercial|All Other Plans | $14.18 | ↑ +69% |
| Health Net | Medicaid|All Plans | $14.18 | ↑ +69% |
| BrightHealth | Commercial|All Plans | $14.33 | ↑ +71% |
| Prison Healthcare | Medicaid|All Plans | $19.55 | ↑ +133% |
| Cigna | Commercial|LocalPlus | $28.86 | ↑ +244% |
| Cigna | Commercial|All Other Plans | $38.48 | ↑ +358% |
Visitor-reported prices
Comments
#coxa-coxsackie a serotype a16 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $11.09 | $4.97 – $28.86 |
| St. John's Camarillo Hospital | Camarillo | $36.80 | $3.78 – $34.57 |
| Banner Lassen Medical Center | Susanville | $19.11 | $1.23 – $19.11 |
| Petaluma Valley Hospital | Petaluma | $13.62 | $12.77 – $107.66 |
| Arroyo Grande Hospital | Santa Maria | $14.51 | $6.48 – $33.58 |
| Mark Twain Medical Center | San Andreas | $22.57 | $7.58 – $14.00 |
| French Hospital | San Luis Obispo | $13.29 | $3.50 – $39.47 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8.30 | $1.98 – $37.45 |