Enzyme histochemistry at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$160.45
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.
$736.00
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.
$44.36 with Western Health Advantage vs $1,610.23 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $44.36 | ↓ -72% |
| Kaiser | Medicaid|All Plans | $51.96 | ↓ -68% |
| Partnership Health Plan | Medicaid|All Plans | $68.78 | ↓ -57% |
| Healthsmart | Commercial|All Plans | $91.24 | ↓ -43% |
| First Health | Commercial|All Plans | $95.04 | ↓ -41% |
| United | Medicaid|> 21 | $98.66 | ↓ -39% |
| United | Medicaid|< 21 | $98.66 | ↓ -39% |
| Kaiser | Commercial|All Plans | $100.11 | ↓ -38% |
| MultiPlan | Commercial|All Plans | $101.38 | ↓ -37% |
| Sutter Health | Commercial|All Plans | $101.38 | ↓ -37% |
| BCBS - Anthem | Commercial|Connection EPO | $101.38 | ↓ -37% |
| Hill Physicians | Medicaid|All Plans | $108.53 | ↓ -32% |
| BCBS - Anthem | Medicare|All Other Plans | $119.50 | ↓ -26% |
| Hill Physicians | Commercial|All Plans | $122.26 | ↓ -24% |
| Aetna | Medicare|All Plans | $126.72 | ↓ -21% |
| Health Net | Medicaid|All Plans | $126.72 | ↓ -21% |
| Humana | Commercial|All Plans | $126.72 | ↓ -21% |
| Aetna | Commercial|PPO | $126.72 | ↓ -21% |
| BCBS - Anthem | Commercial|All Other Plans | $126.72 | ↓ -21% |
| Molina | Medicaid|All Plans | $126.72 | ↓ -21% |
| BCBS - Anthem | Commercial|MCS | $126.72 | ↓ -21% |
| BCBS - Anthem | Medicaid|All Plans | $126.72 | ↓ -21% |
| Molina | Medicare|All Plans | $126.72 | ↓ -21% |
| United | Commercial|All Other Plans | $126.72 | ↓ -21% |
| United | Commercial|HMO | $126.72 | ↓ -21% |
| United | Commercial|Non-Options PPO | $126.72 | ↓ -21% |
| Aetna | Commercial|HMO | $126.72 | ↓ -21% |
| Blue Shield CA | Medicare|PPO | $126.72 | ↓ -21% |
| Aetna | Commercial|All Other Plans | $126.72 | ↓ -21% |
| California Health & Wellness | Medicaid|All Plans | $126.72 | ↓ -21% |
| Hill Physicians | Medicare|All Plans | $126.72 | ↓ -21% |
| BCBS - Anthem | Medicare|Imperial | $130.53 | ↓ -19% |
| BrightHealth | Commercial|All Plans | $139.40 | ↓ -13% |
| Cigna | Commercial|LocalPlus | $255.22 | ↑ +59% |
| Cigna | Commercial|All Other Plans | $340.32 | ↑ +112% |
| Kaiser | Medicare|All Plans | $1,073.49 | ↑ +569% |
| Blue Shield CA | Medicare|HMO | $1,073.49 | ↑ +569% |
| United | Medicare|All Plans | $1,073.49 | ↑ +569% |
| Prison Healthcare | Medicaid|All Plans | $1,610.23 | ↑ +904% |
Visitor-reported prices
Comments
Enzyme histochemistry at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $211.97 | $44.36 – $255.22 |
| Petaluma Valley Hospital | Petaluma | $1,351.50 | $58.53 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $34.99 | $29.79 – $296.94 |
| French Hospital | San Luis Obispo | $32.05 | $16.09 – $349.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $229.97 | $59.43 – $331.18 |
| Bakersfield Memorial Hospital | Bakersfield | $227.49 | $59.43 – $331.18 |
| Queen of The Valley Medical Center | Napa | $1,770.21 | $73.97 – $1,256.40 |
| Providence St Joseph Hospital Eureka | Eureka | $993.99 | $83.88 – $1,256.40 |