Crotalidae poly immune fab at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$3,346.52
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.
$15,351.00
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.
$1,755.81 with Partnership Health Plan vs $5,446.52 with Cigna — 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 | $1,755.81 | ↓ -48% |
| Kaiser | Medicaid|All Plans | $1,767.51 | ↓ -47% |
| Hill Physicians | Commercial|All Plans | $1,861.16 | ↓ -44% |
| Hill Physicians | Medicaid|All Plans | $1,931.39 | ↓ -42% |
| BCBS - Anthem | Medicare|All Other Plans | $2,306.30 | ↓ -31% |
| Aetna | Medicare|All Plans | $2,445.71 | ↓ -27% |
| Humana | Commercial|All Plans | $2,445.71 | ↓ -27% |
| Kaiser | Medicare|All Plans | $2,445.71 | ↓ -27% |
| Molina | Medicare|All Plans | $2,445.71 | ↓ -27% |
| Blue Shield CA | Medicare|HMO | $2,445.71 | ↓ -27% |
| Blue Shield CA | Medicare|PPO | $2,445.71 | ↓ -27% |
| United | Medicare|All Plans | $2,445.71 | ↓ -27% |
| BCBS - Anthem | Medicare|Imperial | $2,519.08 | ↓ -25% |
| BrightHealth | Commercial|All Plans | $2,690.28 | ↓ -20% |
| Health Net | Commercial|EPPO | $2,763.07 | ↓ -17% |
| Hill Physicians | Medicare|All Plans | $2,908.21 | ↓ -13% |
| United | Commercial|HMO | $2,936.41 | ↓ -12% |
| United | Commercial|All Other Plans | $2,936.41 | ↓ -12% |
| BCBS - Anthem | Commercial|Connection EPO | $3,103.92 | ↓ -7% |
| Healthsmart | Commercial|All Plans | $3,103.92 | ↓ -7% |
| First Health | Commercial|All Plans | $3,233.25 | ↓ -3% |
| Molina | Medicaid|All Plans | $3,300.92 | ↓ -1% |
| Kaiser | Commercial|All Plans | $3,405.69 | ↑ +2% |
| Sutter Health | Commercial|All Plans | $3,448.80 | ↑ +3% |
| MultiPlan | Commercial|All Plans | $3,448.80 | ↑ +3% |
| Western Health Advantage | Commercial|All Plans | $3,453.84 | ↑ +3% |
| Aetna | Commercial|HMO | $3,616.97 | ↑ +8% |
| Aetna | Commercial|PPO | $3,616.97 | ↑ +8% |
| Aetna | Commercial|All Other Plans | $3,616.97 | ↑ +8% |
| Prison Healthcare | Medicaid|All Plans | $3,668.57 | ↑ +10% |
| Blue Shield CA | Commercial|CalPers | $3,837.60 | ↑ +15% |
| Blue Shield CA | Commercial|All Other Plans | $3,837.60 | ↑ +15% |
| Blue Shield CA | Commercial|Exchange | $3,837.60 | ↑ +15% |
| Blue Shield CA | Commercial|HMO | $3,837.60 | ↑ +15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,837.60 | ↑ +15% |
| BCBS - Anthem | Commercial|All Other Plans | $3,879.90 | ↑ +16% |
| BCBS - Anthem | Medicaid|All Plans | $3,953.75 | ↑ +18% |
| California Health & Wellness | Medicaid|All Plans | $4,073.48 | ↑ +22% |
| Health Net | Medicaid|All Plans | $4,073.48 | ↑ +22% |
| Cigna | Commercial|LocalPlus | $4,084.01 | ↑ +22% |
| BCBS - Anthem | Commercial|MCS | $4,311.00 | ↑ +29% |
| Health Net | Commercial|FFS | $4,311.00 | ↑ +29% |
| United | Commercial|Non-Options PPO | $4,311.00 | ↑ +29% |
| Cigna | Commercial|All Other Plans | $5,446.52 | ↑ +63% |
Visitor-reported prices
Comments
Crotalidae poly immune fab at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $4,421.09 | $1,755.81 – $4,084.01 |
| St. John's Camarillo Hospital | Camarillo | $3,698.04 | $2,279.61 – $6,585.54 |
| Petaluma Valley Hospital | Petaluma | $3,595.83 | $1,804.20 – $3,774.99 |
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $2,364.76 – $36,750.00 |
| French Hospital | San Luis Obispo | $14,700.00 | $1,755.81 – $36,750.00 |
| Bakersfield Memorial Hospital | Bakersfield | $5,605.56 | $1,715.60 – $4,289.00 |
| Queen of The Valley Medical Center | Napa | $2,882.23 | $1,841.02 – $3,774.99 |
| Providence St Joseph Hospital Eureka | Eureka | $2,882.23 | $1,841.02 – $3,774.99 |