Crizanlizumab-tmca 10 mg/ml intravenous solution at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,541.45
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.
$11,658.00
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.
$105.97 with Health Net vs $9,326.40 with Sutter Health — 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 |
|---|---|---|---|
| Health Net | Commercial|EPPO | $105.97 | ↓ -96% |
| Hill Physicians | Medicare|All Plans | $122.43 | ↓ -95% |
| Partnership Health Plan | Medicaid|All Plans | $129.50 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $137.27 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $142.45 | ↓ -94% |
| Blue Shield CA | Commercial|All Other Plans | $147.18 | ↓ -94% |
| Blue Shield CA | Commercial|CalPers | $147.18 | ↓ -94% |
| Blue Shield CA | Commercial|HMO | $147.18 | ↓ -94% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $147.18 | ↓ -94% |
| Blue Shield CA | Commercial|Exchange | $147.18 | ↓ -94% |
| BCBS - Anthem | Medicare|All Other Plans | $160.57 | ↓ -94% |
| Humana | Commercial|All Plans | $170.28 | ↓ -93% |
| Aetna | Medicare|All Plans | $170.28 | ↓ -93% |
| Molina | Medicare|All Plans | $170.28 | ↓ -93% |
| United | Medicare|All Plans | $170.28 | ↓ -93% |
| Kaiser | Medicare|All Plans | $170.28 | ↓ -93% |
| Blue Shield CA | Medicare|HMO | $170.28 | ↓ -93% |
| Blue Shield CA | Medicare|PPO | $170.28 | ↓ -93% |
| BCBS - Anthem | Medicare|Imperial | $175.39 | ↓ -93% |
| BrightHealth | Commercial|All Plans | $187.31 | ↓ -93% |
| Health Net | Commercial|FFS | $197.22 | ↓ -92% |
| United | Commercial|Non-Options PPO | $204.80 | ↓ -92% |
| United | Commercial|All Other Plans | $212.32 | ↓ -92% |
| United | Commercial|HMO | $212.32 | ↓ -92% |
| Molina | Medicaid|All Plans | $243.46 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $249.51 | ↓ -90% |
| Prison Healthcare | Medicaid|All Plans | $255.42 | ↓ -90% |
| Aetna | Commercial|PPO | $266.77 | ↓ -90% |
| Aetna | Commercial|All Other Plans | $266.77 | ↓ -90% |
| Aetna | Commercial|HMO | $266.77 | ↓ -90% |
| California Health & Wellness | Medicaid|All Plans | $300.44 | ↓ -88% |
| Health Net | Medicaid|All Plans | $300.44 | ↓ -88% |
| Cigna | Commercial|LocalPlus | $301.22 | ↓ -88% |
| BCBS - Anthem | Commercial|Connection EPO | $359.21 | ↓ -86% |
| Cigna | Commercial|All Other Plans | $401.71 | ↓ -84% |
| BCBS - Anthem | Commercial|All Other Plans | $449.02 | ↓ -82% |
| BCBS - Anthem | Commercial|MCS | $651.46 | ↓ -74% |
| Western Health Advantage | Commercial|All Plans | $2,914.50 | ↑ +15% |
| Kaiser | Medicaid|All Plans | $4,779.78 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $8,393.76 | ↑ +230% |
| First Health | Commercial|All Plans | $8,743.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $9,209.82 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $9,326.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $9,326.40 | ↑ +267% |
Visitor-reported prices
Comments
Crizanlizumab-tmca 10 mg/ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,857.63 | $110.45 – $278.43 |
| Mercy Medical Center Redding | Redding | $2,281.50 | $129.50 – $4,410.00 |
| Petaluma Valley Hospital | Petaluma | not published | $127.35 – $278.43 |
| Queen of The Valley Medical Center | Napa | not published | $129.94 – $278.43 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $129.94 – $278.43 |
| Healdsburg Hospital | Healdsburg | not published | $125.10 – $402.90 |
| Redwood Memorial Hospital | Fortuna | not published | $204.53 – $259.16 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $127.35 – $278.43 |