Fine needle asp without image guide 10021 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$282.31
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.
$1,295.00
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.
$54.74 with Hill Physicians vs $6,582.00 with BCBS - Anthem — 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 | $54.74 | ↓ -81% |
| United | Medicaid|< 21 | $73.34 | ↓ -74% |
| United | Medicaid|> 21 | $73.34 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $80.67 | ↓ -71% |
| Hill Physicians | Medicare|All Plans | $109.80 | ↓ -61% |
| Molina | Medicaid|All Plans | $137.88 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $139.35 | ↓ -51% |
| California Health & Wellness | Medicaid|All Plans | $170.15 | ↓ -40% |
| Health Net | Medicaid|All Plans | $170.15 | ↓ -40% |
| Partnership Health Plan | Medicaid|All Plans | $315.36 | ↑ +12% |
| Western Health Advantage | Commercial|All Plans | $453.25 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $495.09 | ↑ +75% |
| Humana | Commercial|All Plans | $525.02 | ↑ +86% |
| Aetna | Medicare|All Plans | $525.02 | ↑ +86% |
| Molina | Medicare|All Plans | $525.02 | ↑ +86% |
| United | Medicare|All Plans | $525.02 | ↑ +86% |
| Kaiser | Medicare|All Plans | $525.02 | ↑ +86% |
| Blue Shield CA | Medicare|HMO | $525.02 | ↑ +86% |
| Blue Shield CA | Medicare|PPO | $525.02 | ↑ +86% |
| Kaiser | Medicaid|All Plans | $530.95 | ↑ +88% |
| BCBS - Anthem | Medicare|Imperial | $540.77 | ↑ +92% |
| BrightHealth | Commercial|All Plans | $577.52 | ↑ +105% |
| Prison Healthcare | Medicaid|All Plans | $787.53 | ↑ +179% |
| Healthsmart | Commercial|All Plans | $932.40 | ↑ +230% |
| First Health | Commercial|All Plans | $971.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,023.05 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $1,036.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,036.00 | ↑ +267% |
| United | Commercial|Non-Options PPO | $1,295.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +896% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +1186% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +1508% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1672% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1672% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1672% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +1736% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +2231% |
Visitor-reported prices
Comments
Fine needle asp without image guide 10021 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $372.96 | $54.74 – $1,074.85 |
| Petaluma Valley Hospital | Petaluma | $755.82 | $547.82 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $386.49 | $73.34 – $884.94 |
| Mark Twain Medical Center | San Andreas | $173.83 | $48.38 – $183.26 |
| French Hospital | San Luis Obispo | $446.88 | $73.34 – $1,117.20 |
| Queen of The Valley Medical Center | Napa | $936.87 | $577.20 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $578.34 | $522.85 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $797.64 | $547.72 – $3,982.87 |