Culture body fluid at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$84.81
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.
$389.00
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.
$7.51 with Partnership Health Plan vs $35.31 with BCBS - Anthem — 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 | $7.51 | ↓ -91% |
| BCBS - Anthem | Medicare|All Other Plans | $8.13 | ↓ -90% |
| Hill Physicians | Medicare|All Plans | $8.62 | ↓ -90% |
| Hill Physicians | Commercial|All Plans | $8.62 | ↓ -90% |
| Aetna | Medicare|All Plans | $8.62 | ↓ -90% |
| Molina | Medicare|All Plans | $8.62 | ↓ -90% |
| Humana | Commercial|All Plans | $8.62 | ↓ -90% |
| Blue Shield CA | Medicare|PPO | $8.62 | ↓ -90% |
| Kaiser | Medicare|All Plans | $8.62 | ↓ -90% |
| United | Medicare|All Plans | $8.62 | ↓ -90% |
| Blue Shield CA | Medicare|HMO | $8.62 | ↓ -90% |
| BCBS - Anthem | Medicare|Imperial | $8.88 | ↓ -90% |
| BrightHealth | Commercial|All Plans | $9.48 | ↓ -89% |
| United | Commercial|Non-Options PPO | $10.34 | ↓ -88% |
| United | Commercial|HMO | $10.34 | ↓ -88% |
| United | Commercial|All Other Plans | $10.34 | ↓ -88% |
| United | Medicaid|< 21 | $10.77 | ↓ -87% |
| United | Medicaid|> 21 | $10.77 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $11.85 | ↓ -86% |
| Western Health Advantage | Commercial|All Plans | $12.36 | ↓ -85% |
| Prison Healthcare | Medicaid|All Plans | $12.93 | ↓ -85% |
| Molina | Medicaid|All Plans | $14.12 | ↓ -83% |
| Kaiser | Medicaid|All Plans | $14.48 | ↓ -83% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $16.60 | ↓ -80% |
| Blue Shield CA | Commercial|Exchange | $17.66 | ↓ -79% |
| Cigna | Commercial|LocalPlus | $19.08 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $21.41 | ↓ -75% |
| Blue Shield CA | Commercial|HMO | $24.02 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $24.99 | ↓ -71% |
| Health Net | Medicaid|All Plans | $24.99 | ↓ -71% |
| Healthsmart | Commercial|All Plans | $25.43 | ↓ -70% |
| Cigna | Commercial|All Other Plans | $25.44 | ↓ -70% |
| Blue Shield CA | Commercial|All Other Plans | $25.78 | ↓ -70% |
| Blue Shield CA | Commercial|CalPers | $25.78 | ↓ -70% |
| First Health | Commercial|All Plans | $26.49 | ↓ -69% |
| Kaiser | Commercial|All Plans | $27.90 | ↓ -67% |
| BCBS - Anthem | Commercial|Connection EPO | $28.25 | ↓ -67% |
| MultiPlan | Commercial|All Plans | $28.25 | ↓ -67% |
| Sutter Health | Commercial|All Plans | $28.25 | ↓ -67% |
| Aetna | Commercial|All Other Plans | $31.47 | ↓ -63% |
| Aetna | Commercial|HMO | $31.47 | ↓ -63% |
| Aetna | Commercial|PPO | $31.47 | ↓ -63% |
| BCBS - Anthem | Commercial|All Other Plans | $35.31 | ↓ -58% |
| BCBS - Anthem | Commercial|MCS | $35.31 | ↓ -58% |
Visitor-reported prices
Comments
Culture body fluid at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $112.04 | $7.51 – $29.31 |
| St. John's Camarillo Hospital | Camarillo | $281.20 | $8.62 – $26.90 |
| Banner Lassen Medical Center | Susanville | $62.50 | $1.72 – $17.46 |
| Petaluma Valley Hospital | Petaluma | $382.50 | $8.45 – $70.24 |
| Arroyo Grande Hospital | Santa Maria | $521.74 | $8.62 – $22.20 |
| Mark Twain Medical Center | San Andreas | $129.21 | $8.62 – $147.98 |
| French Hospital | San Luis Obispo | $477.85 | $5.56 – $26.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $223.72 | $8.62 – $24.76 |