Cytopathology fna adequacy evaluation first episode each site at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$87.20
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.
$400.00
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.
$24.49 with Hill Physicians vs $337.77 with Prison Healthcare — 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 | Commercial|All Plans | $24.49 | ↓ -72% |
| Partnership Health Plan | Medicaid|All Plans | $28.29 | ↓ -68% |
| United | Medicaid|> 21 | $40.58 | ↓ -53% |
| United | Medicaid|< 21 | $40.58 | ↓ -53% |
| Cigna | Commercial|LocalPlus | $43.68 | ↓ -50% |
| Hill Physicians | Medicaid|All Plans | $44.64 | ↓ -49% |
| Molina | Medicaid|All Plans | $53.19 | ↓ -39% |
| Aetna | Commercial|All Other Plans | $57.52 | ↓ -34% |
| Aetna | Commercial|PPO | $57.52 | ↓ -34% |
| Aetna | Commercial|HMO | $57.52 | ↓ -34% |
| Cigna | Commercial|All Other Plans | $58.24 | ↓ -33% |
| Hill Physicians | Medicare|All Plans | $58.87 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $91.81 | ↑ +5% |
| California Health & Wellness | Medicaid|All Plans | $94.15 | ↑ +8% |
| Health Net | Medicaid|All Plans | $94.15 | ↑ +8% |
| Western Health Advantage | Commercial|All Plans | $140.00 | ↑ +61% |
| BCBS - Anthem | Commercial|Connection EPO | $147.39 | ↑ +69% |
| Kaiser | Medicaid|All Plans | $164.00 | ↑ +88% |
| United | Commercial|Non-Options PPO | $178.99 | ↑ +105% |
| United | Commercial|HMO | $178.99 | ↑ +105% |
| United | Commercial|All Other Plans | $178.99 | ↑ +105% |
| BCBS - Anthem | Commercial|All Other Plans | $184.16 | ↑ +111% |
| BCBS - Anthem | Medicare|All Other Plans | $212.34 | ↑ +144% |
| Humana | Commercial|All Plans | $225.18 | ↑ +158% |
| Aetna | Medicare|All Plans | $225.18 | ↑ +158% |
| Molina | Medicare|All Plans | $225.18 | ↑ +158% |
| United | Medicare|All Plans | $225.18 | ↑ +158% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +158% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +158% |
| Blue Shield CA | Medicare|PPO | $225.18 | ↑ +158% |
| BCBS - Anthem | Medicare|Imperial | $231.94 | ↑ +166% |
| BrightHealth | Commercial|All Plans | $247.70 | ↑ +184% |
| BCBS - Anthem | Commercial|MCS | $266.98 | ↑ +206% |
| Healthsmart | Commercial|All Plans | $288.00 | ↑ +230% |
| First Health | Commercial|All Plans | $300.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $316.00 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $320.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $320.00 | ↑ +267% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +287% |
Visitor-reported prices
Comments
Cytopathology fna adequacy evaluation first episode each site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $115.20 | $24.49 – $332.00 |
| St. John's Camarillo Hospital | Camarillo | $84.10 | $51.84 – $384.00 |
| Petaluma Valley Hospital | Petaluma | $290.19 | $84.91 – $287.00 |
| Arroyo Grande Hospital | Santa Maria | $674.10 | $40.58 – $509.60 |
| Mark Twain Medical Center | San Andreas | $164.51 | $6.00 – $23.16 |
| French Hospital | San Luis Obispo | $617.40 | $40.58 – $509.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $77.91 | $15.26 – $56.68 |
| Bakersfield Memorial Hospital | Bakersfield | $77.07 | $15.26 – $56.68 |