Hbb gene dup/del variants at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$100.46
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.
$460.79
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.
$161.28 with Western Health Advantage vs $597.68 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 | $161.28 | ↑ +61% |
| United | Medicaid|< 21 | $161.92 | ↑ +61% |
| United | Medicaid|> 21 | $161.92 | ↑ +61% |
| Partnership Health Plan | Medicaid|All Plans | $161.92 | ↑ +61% |
| Hill Physicians | Medicaid|All Plans | $178.11 | ↑ +77% |
| Kaiser | Medicaid|All Plans | $188.93 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $190.86 | ↑ +90% |
| Humana | Commercial|All Plans | $202.40 | ↑ +101% |
| Aetna | Medicare|All Plans | $202.40 | ↑ +101% |
| Molina | Medicare|All Plans | $202.40 | ↑ +101% |
| United | Medicare|All Plans | $202.40 | ↑ +101% |
| Kaiser | Medicare|All Plans | $202.40 | ↑ +101% |
| Blue Shield CA | Medicare|HMO | $202.40 | ↑ +101% |
| Blue Shield CA | Medicare|PPO | $202.40 | ↑ +101% |
| Hill Physicians | Commercial|All Plans | $202.40 | ↑ +101% |
| Hill Physicians | Medicare|All Plans | $202.40 | ↑ +101% |
| BCBS - Anthem | Medicare|Imperial | $208.47 | ↑ +108% |
| BrightHealth | Commercial|All Plans | $222.64 | ↑ +122% |
| United | Commercial|All Other Plans | $242.88 | ↑ +142% |
| United | Commercial|Non-Options PPO | $242.88 | ↑ +142% |
| United | Commercial|HMO | $242.88 | ↑ +142% |
| Prison Healthcare | Medicaid|All Plans | $303.60 | ↑ +202% |
| Molina | Medicaid|All Plans | $304.41 | ↑ +203% |
| BCBS - Anthem | Medicaid|All Plans | $307.65 | ↑ +206% |
| Healthsmart | Commercial|All Plans | $331.77 | ↑ +230% |
| First Health | Commercial|All Plans | $345.60 | ↑ +244% |
| Kaiser | Commercial|All Plans | $364.03 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $368.64 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $368.64 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $368.64 | ↑ +267% |
| Health Net | Medicaid|All Plans | $375.65 | ↑ +274% |
| California Health & Wellness | Medicaid|All Plans | $375.65 | ↑ +274% |
| Cigna | Commercial|LocalPlus | $448.22 | ↑ +346% |
| Aetna | Commercial|All Other Plans | $460.79 | ↑ +359% |
| Aetna | Commercial|HMO | $460.79 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $460.79 | ↑ +359% |
| Aetna | Commercial|PPO | $460.79 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $460.79 | ↑ +359% |
| Cigna | Commercial|All Other Plans | $597.68 | ↑ +495% |
Visitor-reported prices
Comments
Hbb gene dup/del variants at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $132.71 | $161.28 – $448.22 |
| Arroyo Grande Hospital | Santa Maria | $197.22 | $161.92 – $521.50 |
| Mark Twain Medical Center | San Andreas | $306.89 | $161.92 – $451.58 |
| French Hospital | San Luis Obispo | $180.63 | $124.42 – $613.07 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $358.50 | $161.92 – $451.58 |
| Dominican Hospital | Santa Cruz | $207.36 | $161.92 – $1,812.37 |
| Northridge Hospital Medical Center | Northridge | $128.57 | $115.20 – $460.79 |
| Sierra Nevada Memorial Hospital | Grass Valley | $251.14 | $161.92 – $451.58 |