Fibrinolytic plasminogen at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$4.09
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.
$18.72
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.
$6.56 with Western Health Advantage vs $50.75 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 | $6.56 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $7.68 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $8.80 | ↑ +115% |
| Blue Shield CA | Commercial|Exchange | $9.36 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $12.73 | ↑ +211% |
| Healthsmart | Commercial|All Plans | $13.48 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $13.67 | ↑ +234% |
| Blue Shield CA | Commercial|All Other Plans | $13.67 | ↑ +234% |
| First Health | Commercial|All Plans | $14.04 | ↑ +243% |
| Kaiser | Commercial|All Plans | $14.79 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $14.98 | ↑ +266% |
| BCBS - Anthem | Commercial|Connection EPO | $14.98 | ↑ +266% |
| Sutter Health | Commercial|All Plans | $14.98 | ↑ +266% |
| Partnership Health Plan | Medicaid|All Plans | $15.28 | ↑ +274% |
| BCBS - Anthem | Medicare|All Other Plans | $16.21 | ↑ +296% |
| Humana | Commercial|All Plans | $17.19 | ↑ +320% |
| Aetna | Medicare|All Plans | $17.19 | ↑ +320% |
| Molina | Medicare|All Plans | $17.19 | ↑ +320% |
| United | Medicare|All Plans | $17.19 | ↑ +320% |
| Kaiser | Medicare|All Plans | $17.19 | ↑ +320% |
| Blue Shield CA | Medicare|HMO | $17.19 | ↑ +320% |
| Blue Shield CA | Medicare|PPO | $17.19 | ↑ +320% |
| Hill Physicians | Commercial|All Plans | $17.19 | ↑ +320% |
| Hill Physicians | Medicare|All Plans | $17.19 | ↑ +320% |
| BCBS - Anthem | Medicare|Imperial | $17.71 | ↑ +333% |
| BCBS - Anthem | Commercial|MCS | $18.72 | ↑ +358% |
| United | Medicaid|> 21 | $18.72 | ↑ +358% |
| United | Medicaid|< 21 | $18.72 | ↑ +358% |
| United | Commercial|Non-Options PPO | $18.72 | ↑ +358% |
| United | Commercial|HMO | $18.72 | ↑ +358% |
| Aetna | Commercial|All Other Plans | $18.72 | ↑ +358% |
| United | Commercial|All Other Plans | $18.72 | ↑ +358% |
| Molina | Medicaid|All Plans | $18.72 | ↑ +358% |
| Aetna | Commercial|PPO | $18.72 | ↑ +358% |
| Aetna | Commercial|HMO | $18.72 | ↑ +358% |
| BCBS - Anthem | Medicaid|All Plans | $18.72 | ↑ +358% |
| California Health & Wellness | Medicaid|All Plans | $18.72 | ↑ +358% |
| Hill Physicians | Medicaid|All Plans | $18.72 | ↑ +358% |
| BCBS - Anthem | Commercial|All Other Plans | $18.72 | ↑ +358% |
| Health Net | Medicaid|All Plans | $18.72 | ↑ +358% |
| BrightHealth | Commercial|All Plans | $18.91 | ↑ +362% |
| Prison Healthcare | Medicaid|All Plans | $25.79 | ↑ +531% |
| Cigna | Commercial|LocalPlus | $38.06 | ↑ +831% |
| Cigna | Commercial|All Other Plans | $50.75 | ↑ +1141% |
Visitor-reported prices
Comments
Fibrinolytic plasminogen at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $58.91 | $16.85 – $140.42 |
| Arroyo Grande Hospital | Santa Maria | $23.97 | $17.19 – $54.88 |
| Mark Twain Medical Center | San Andreas | $37.30 | $17.19 – $54.88 |
| French Hospital | San Luis Obispo | $21.96 | $15.12 – $54.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $27.09 | $17.19 – $58.40 |
| Bakersfield Memorial Hospital | Bakersfield | $26.80 | $17.19 – $57.67 |
| Queen of The Valley Medical Center | Napa | $58.91 | $17.19 – $177.45 |
| Providence St Joseph Hospital Eureka | Eureka | $58.91 | $17.19 – $201.23 |