Culture fungi other (except blood) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$52.54
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.
$241.00
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.
$2.69 with Western Health Advantage vs $24.85 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 | $2.69 | ↓ -95% |
| Kaiser | Medicaid|All Plans | $3.15 | ↓ -94% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3.61 | ↓ -93% |
| Blue Shield CA | Commercial|Exchange | $3.84 | ↓ -93% |
| Blue Shield CA | Commercial|HMO | $5.23 | ↓ -90% |
| Healthsmart | Commercial|All Plans | $5.53 | ↓ -89% |
| Blue Shield CA | Commercial|All Other Plans | $5.61 | ↓ -89% |
| Blue Shield CA | Commercial|CalPers | $5.61 | ↓ -89% |
| First Health | Commercial|All Plans | $5.76 | ↓ -89% |
| Kaiser | Commercial|All Plans | $6.07 | ↓ -88% |
| Sutter Health | Commercial|All Plans | $6.15 | ↓ -88% |
| BCBS - Anthem | Commercial|Connection EPO | $6.15 | ↓ -88% |
| MultiPlan | Commercial|All Plans | $6.15 | ↓ -88% |
| BCBS - Anthem | Medicare|All Other Plans | $7.25 | ↓ -86% |
| Partnership Health Plan | Medicaid|All Plans | $7.44 | ↓ -86% |
| BCBS - Anthem | Commercial|All Other Plans | $7.68 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $7.68 | ↓ -85% |
| BCBS - Anthem | Commercial|MCS | $7.68 | ↓ -85% |
| Blue Shield CA | Medicare|HMO | $7.68 | ↓ -85% |
| Blue Shield CA | Medicare|PPO | $7.68 | ↓ -85% |
| United | Commercial|All Other Plans | $7.68 | ↓ -85% |
| Aetna | Commercial|All Other Plans | $7.68 | ↓ -85% |
| Aetna | Commercial|PPO | $7.68 | ↓ -85% |
| Aetna | Medicare|All Plans | $7.68 | ↓ -85% |
| Aetna | Commercial|HMO | $7.68 | ↓ -85% |
| Molina | Medicaid|All Plans | $7.68 | ↓ -85% |
| Molina | Medicare|All Plans | $7.68 | ↓ -85% |
| Humana | Commercial|All Plans | $7.68 | ↓ -85% |
| United | Medicare|All Plans | $7.68 | ↓ -85% |
| United | Commercial|HMO | $7.68 | ↓ -85% |
| United | Commercial|Non-Options PPO | $7.68 | ↓ -85% |
| United | Medicaid|< 21 | $7.68 | ↓ -85% |
| United | Medicaid|> 21 | $7.68 | ↓ -85% |
| Health Net | Medicaid|All Plans | $7.68 | ↓ -85% |
| Kaiser | Medicare|All Plans | $7.68 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $7.68 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $7.68 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $7.68 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $7.68 | ↓ -85% |
| BCBS - Anthem | Medicare|Imperial | $7.92 | ↓ -85% |
| BrightHealth | Commercial|All Plans | $8.45 | ↓ -84% |
| Prison Healthcare | Medicaid|All Plans | $11.52 | ↓ -78% |
| Cigna | Commercial|LocalPlus | $18.64 | ↓ -65% |
| Cigna | Commercial|All Other Plans | $24.85 | ↓ -53% |
Visitor-reported prices
Comments
Culture fungi other (except blood) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $69.41 | $2.69 – $18.64 |
| St. John's Camarillo Hospital | Camarillo | $195.35 | $6.75 – $22.33 |
| Banner Lassen Medical Center | Susanville | $21.20 | $1.68 – $36.86 |
| Petaluma Valley Hospital | Petaluma | $29.58 | $8.24 – $68.59 |
| Arroyo Grande Hospital | Santa Maria | $181.05 | $8.41 – $24.50 |
| Mark Twain Medical Center | San Andreas | $84.59 | $8.41 – $20.61 |
| French Hospital | San Luis Obispo | $165.82 | $6.75 – $25.49 |
| Mercy Hospitals – Bakersfield | Bakersfield | $185.50 | $8.41 – $24.18 |