F-18 fluciclovine per mci at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$989.72
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.
$4,540.00
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.
$332.62 with BCBS - Anthem vs $4,540.00 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $332.62 | ↓ -66% |
| Kaiser | Medicare|All Plans | $352.73 | ↓ -64% |
| Aetna | Medicare|All Plans | $352.73 | ↓ -64% |
| Blue Shield CA | Medicare|PPO | $352.73 | ↓ -64% |
| United | Medicare|All Plans | $352.73 | ↓ -64% |
| Blue Shield CA | Medicare|HMO | $352.73 | ↓ -64% |
| Molina | Medicare|All Plans | $352.73 | ↓ -64% |
| Humana | Commercial|All Plans | $352.73 | ↓ -64% |
| BCBS - Anthem | Medicare|Imperial | $363.31 | ↓ -63% |
| BrightHealth | Commercial|All Plans | $388.00 | ↓ -61% |
| United | Commercial|HMO | $442.89 | ↓ -55% |
| United | Commercial|All Other Plans | $442.89 | ↓ -55% |
| Prison Healthcare | Medicaid|All Plans | $529.10 | ↓ -47% |
| BCBS - Anthem | Commercial|Connection EPO | $1,111.76 | ↑ +12% |
| Cigna | Commercial|LocalPlus | $1,225.76 | ↑ +24% |
| BCBS - Anthem | Commercial|All Other Plans | $1,389.71 | ↑ +40% |
| Western Health Advantage | Commercial|All Plans | $1,589.00 | ↑ +61% |
| Cigna | Commercial|All Other Plans | $1,634.69 | ↑ +65% |
| Kaiser | Medicaid|All Plans | $1,861.40 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $2,016.25 | ↑ +104% |
| California Health & Wellness | Medicaid|All Plans | $2,270.00 | ↑ +129% |
| Health Net | Medicaid|All Plans | $2,270.00 | ↑ +129% |
| Healthsmart | Commercial|All Plans | $3,268.80 | ↑ +230% |
| First Health | Commercial|All Plans | $3,405.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,586.60 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $3,632.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $3,632.00 | ↑ +267% |
| United | Commercial|Non-Options PPO | $4,540.00 | ↑ +359% |
Visitor-reported prices
Comments
F-18 fluciclovine per mci at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,307.52 | $332.62 – $3,768.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,689.91 | $341.05 – $3,644.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,671.69 | $341.05 – $3,598.45 |
| St. Joseph's Medical Center Stockton | Stockton | $1,339.17 | $323.71 – $1,867.96 |
| Mercy Medical Center Merced | Merced | $2,345.83 | $341.05 – $2,205.24 |
| Dominican Hospital | Santa Cruz | $11,194.20 | $368.77 – $21,144.60 |
| Sierra Nevada Memorial Hospital | Grass Valley | $2,474.30 | $352.73 – $4,449.20 |
| Sequoia Hospital | Redwood City | $1,813.82 | $393.64 – $4,086.06 |