Cryptococcus abs qn - sendout at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2.21
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.
$10.10
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.
$3.54 with Western Health Advantage vs $42.57 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $3.54 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $4.15 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4.75 | ↑ +115% |
| Blue Shield CA | Commercial|Exchange | $5.05 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $6.87 | ↑ +211% |
| Healthsmart | Commercial|All Plans | $7.28 | ↑ +229% |
| Blue Shield CA | Commercial|All Other Plans | $7.38 | ↑ +234% |
| Blue Shield CA | Commercial|CalPers | $7.38 | ↑ +234% |
| First Health | Commercial|All Plans | $7.58 | ↑ +243% |
| Kaiser | Commercial|All Plans | $7.98 | ↑ +261% |
| BCBS - Anthem | Commercial|Connection EPO | $8.08 | ↑ +266% |
| Sutter Health | Commercial|All Plans | $8.08 | ↑ +266% |
| MultiPlan | Commercial|All Plans | $8.08 | ↑ +266% |
| BCBS - Anthem | Medicare|All Other Plans | $9.53 | ↑ +331% |
| Kaiser | Medicare|All Plans | $10.10 | ↑ +357% |
| BCBS - Anthem | Commercial|All Other Plans | $10.10 | ↑ +357% |
| BCBS - Anthem | Medicaid|All Plans | $10.10 | ↑ +357% |
| BCBS - Anthem | Commercial|MCS | $10.10 | ↑ +357% |
| Blue Shield CA | Medicare|HMO | $10.10 | ↑ +357% |
| United | Commercial|All Other Plans | $10.10 | ↑ +357% |
| Aetna | Commercial|All Other Plans | $10.10 | ↑ +357% |
| Aetna | Commercial|PPO | $10.10 | ↑ +357% |
| Aetna | Medicare|All Plans | $10.10 | ↑ +357% |
| Aetna | Commercial|HMO | $10.10 | ↑ +357% |
| Molina | Medicaid|All Plans | $10.10 | ↑ +357% |
| Molina | Medicare|All Plans | $10.10 | ↑ +357% |
| Humana | Commercial|All Plans | $10.10 | ↑ +357% |
| United | Medicare|All Plans | $10.10 | ↑ +357% |
| United | Commercial|HMO | $10.10 | ↑ +357% |
| United | Commercial|Non-Options PPO | $10.10 | ↑ +357% |
| United | Medicaid|< 21 | $10.10 | ↑ +357% |
| United | Medicaid|> 21 | $10.10 | ↑ +357% |
| Health Net | Medicaid|All Plans | $10.10 | ↑ +357% |
| Partnership Health Plan | Medicaid|All Plans | $10.10 | ↑ +357% |
| California Health & Wellness | Medicaid|All Plans | $10.10 | ↑ +357% |
| Hill Physicians | Commercial|All Plans | $10.10 | ↑ +357% |
| Hill Physicians | Medicaid|All Plans | $10.10 | ↑ +357% |
| Hill Physicians | Medicare|All Plans | $10.10 | ↑ +357% |
| Blue Shield CA | Medicare|PPO | $10.10 | ↑ +357% |
| BCBS - Anthem | Medicare|Imperial | $10.41 | ↑ +371% |
| BrightHealth | Commercial|All Plans | $11.11 | ↑ +403% |
| Prison Healthcare | Medicaid|All Plans | $15.15 | ↑ +586% |
| Cigna | Commercial|LocalPlus | $31.92 | ↑ +1344% |
| Cigna | Commercial|All Other Plans | $42.57 | ↑ +1826% |
Visitor-reported prices
Comments
Cryptococcus abs qn - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $59.88 | $2.88 – $91.18 |
| Petaluma Valley Hospital | Petaluma | $23.97 | $14.12 – $100.35 |
| Queen of The Valley Medical Center | Napa | $23.97 | $14.41 – $126.82 |
| Providence St Joseph Hospital Eureka | Eureka | $23.97 | $14.41 – $143.81 |
| Redwood Memorial Hospital | Fortuna | $23.97 | $144.15 – $144.15 |
| Santa Rosa Memorial Hospital | Santa Rosa | $23.97 | $14.12 – $107.89 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $22.56 | $12.25 – $28.82 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $11.67 | $7.80 – $14.70 |