_fragile x methylation-sendout at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$17.46
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.
$80.07
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.
$28.03 with Western Health Advantage vs $132.56 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 | $28.03 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $32.83 | ↑ +88% |
| United | Medicaid|> 21 | $35.91 | ↑ +106% |
| Partnership Health Plan | Medicaid|All Plans | $35.91 | ↑ +106% |
| United | Medicaid|< 21 | $35.91 | ↑ +106% |
| Hill Physicians | Medicaid|All Plans | $39.50 | ↑ +126% |
| BCBS - Anthem | Medicare|All Other Plans | $42.33 | ↑ +142% |
| Humana | Commercial|All Plans | $44.89 | ↑ +157% |
| Aetna | Medicare|All Plans | $44.89 | ↑ +157% |
| Molina | Medicare|All Plans | $44.89 | ↑ +157% |
| United | Medicare|All Plans | $44.89 | ↑ +157% |
| Kaiser | Medicare|All Plans | $44.89 | ↑ +157% |
| Blue Shield CA | Medicare|HMO | $44.89 | ↑ +157% |
| Blue Shield CA | Medicare|PPO | $44.89 | ↑ +157% |
| Hill Physicians | Commercial|All Plans | $44.89 | ↑ +157% |
| Hill Physicians | Medicare|All Plans | $44.89 | ↑ +157% |
| BCBS - Anthem | Medicare|Imperial | $46.24 | ↑ +165% |
| BrightHealth | Commercial|All Plans | $49.38 | ↑ +183% |
| Aetna | Commercial|PPO | $52.77 | ↑ +202% |
| Aetna | Commercial|HMO | $52.77 | ↑ +202% |
| Aetna | Commercial|All Other Plans | $52.77 | ↑ +202% |
| United | Commercial|HMO | $53.87 | ↑ +209% |
| United | Commercial|Non-Options PPO | $53.87 | ↑ +209% |
| United | Commercial|All Other Plans | $53.87 | ↑ +209% |
| Healthsmart | Commercial|All Plans | $57.66 | ↑ +230% |
| First Health | Commercial|All Plans | $60.06 | ↑ +244% |
| Kaiser | Commercial|All Plans | $63.26 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $64.06 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $64.06 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $64.06 | ↑ +267% |
| Prison Healthcare | Medicaid|All Plans | $67.33 | ↑ +286% |
| Molina | Medicaid|All Plans | $67.51 | ↑ +287% |
| BCBS - Anthem | Medicaid|All Plans | $68.23 | ↑ +291% |
| Health Net | Medicaid|All Plans | $80.07 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $80.07 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $80.07 | ↑ +359% |
| California Health & Wellness | Medicaid|All Plans | $80.07 | ↑ +359% |
| Cigna | Commercial|LocalPlus | $99.42 | ↑ +469% |
| Cigna | Commercial|All Other Plans | $132.56 | ↑ +659% |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $23.07 | $28.03 – $99.42 |
| Arroyo Grande Hospital | Santa Maria | $160.08 | $35.91 – $366.52 |
| French Hospital | San Luis Obispo | $146.61 | $35.91 – $366.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $60.67 | $35.91 – $130.83 |
| Bakersfield Memorial Hospital | Bakersfield | $60.02 | $35.91 – $129.19 |
| St. Joseph's Behavioral Health Center | Stockton | $93.38 | $16.36 – $130.83 |
| St. Joseph's Medical Center Stockton | Stockton | $48.08 | $34.35 – $134.10 |
| Mercy Medical Center Merced | Merced | $84.22 | $35.91 – $153.72 |