Cyclosporine modified 25 mg capsule at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2.84
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.
$13.00
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.
$0.64 with Hill Physicians vs $7.20 with MultiPlan — 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 |
|---|---|---|---|
| Hill Physicians | Medicare|All Plans | $0.64 | ↓ -77% |
| Hill Physicians | Commercial|All Plans | $0.79 | ↓ -72% |
| Health Net | Commercial|EPPO | $0.95 | ↓ -67% |
| Blue Shield CA | Commercial|CalPers | $1.32 | ↓ -54% |
| Blue Shield CA | Commercial|All Other Plans | $1.32 | ↓ -54% |
| Blue Shield CA | Commercial|Exchange | $1.32 | ↓ -54% |
| Blue Shield CA | Commercial|HMO | $1.32 | ↓ -54% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1.32 | ↓ -54% |
| United | Commercial|All Other Plans | $1.37 | ↓ -52% |
| United | Commercial|HMO | $1.37 | ↓ -52% |
| United | Commercial|Non-Options PPO | $1.44 | ↓ -49% |
| Western Health Advantage | Commercial|All Plans | $1.50 | ↓ -47% |
| Aetna | Commercial|HMO | $1.52 | ↓ -46% |
| Aetna | Commercial|All Other Plans | $1.52 | ↓ -46% |
| Aetna | Commercial|PPO | $1.52 | ↓ -46% |
| Cigna | Commercial|LocalPlus | $1.72 | ↓ -39% |
| Health Net | Commercial|FFS | $1.77 | ↓ -38% |
| Cigna | Commercial|All Other Plans | $2.30 | ↓ -19% |
| BCBS - Anthem | Commercial|Connection EPO | $3.33 | ↑ +17% |
| Kaiser | Medicaid|All Plans | $3.69 | ↑ +30% |
| BCBS - Anthem | Commercial|All Other Plans | $4.17 | ↑ +47% |
| BCBS - Anthem | Commercial|MCS | $6.05 | ↑ +113% |
| Healthsmart | Commercial|All Plans | $6.48 | ↑ +128% |
| First Health | Commercial|All Plans | $6.75 | ↑ +138% |
| Kaiser | Commercial|All Plans | $7.11 | ↑ +150% |
| Sutter Health | Commercial|All Plans | $7.20 | ↑ +154% |
| MultiPlan | Commercial|All Plans | $7.20 | ↑ +154% |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3.75 | $0.64 – $7.47 |
| St. John's Camarillo Hospital | Camarillo | $6.57 | $1.32 – $11.70 |
| Petaluma Valley Hospital | Petaluma | $5.61 | $1.47 – $1.59 |
| Arroyo Grande Hospital | Santa Maria | $8.14 | $1.37 – $18.62 |
| French Hospital | San Luis Obispo | $12.55 | $1.32 – $18.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4.83 | $0.70 – $4.80 |
| Bakersfield Memorial Hospital | Bakersfield | $4.78 | $1.22 – $4.74 |
| Queen of The Valley Medical Center | Napa | $15.91 | $1.48 – $1.59 |