Homovanillic acid (hva) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$3.21
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.
$14.70
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.
$3.99 with Western Health Advantage vs $66.19 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 | $3.99 | ↑ +24% |
| Kaiser | Medicaid|All Plans | $4.68 | ↑ +46% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5.36 | ↑ +67% |
| Blue Shield CA | Commercial|Exchange | $5.70 | ↑ +78% |
| Blue Shield CA | Commercial|HMO | $7.76 | ↑ +142% |
| Healthsmart | Commercial|All Plans | $8.21 | ↑ +156% |
| Blue Shield CA | Commercial|All Other Plans | $8.33 | ↑ +160% |
| Blue Shield CA | Commercial|CalPers | $8.33 | ↑ +160% |
| First Health | Commercial|All Plans | $8.55 | ↑ +166% |
| Kaiser | Commercial|All Plans | $9.01 | ↑ +181% |
| BCBS - Anthem | Commercial|Connection EPO | $9.12 | ↑ +184% |
| Sutter Health | Commercial|All Plans | $9.12 | ↑ +184% |
| MultiPlan | Commercial|All Plans | $9.12 | ↑ +184% |
| BCBS - Anthem | Medicare|All Other Plans | $10.76 | ↑ +235% |
| Kaiser | Medicare|All Plans | $11.40 | ↑ +255% |
| BCBS - Anthem | Commercial|All Other Plans | $11.40 | ↑ +255% |
| BCBS - Anthem | Medicaid|All Plans | $11.40 | ↑ +255% |
| BCBS - Anthem | Commercial|MCS | $11.40 | ↑ +255% |
| Blue Shield CA | Medicare|HMO | $11.40 | ↑ +255% |
| United | Commercial|All Other Plans | $11.40 | ↑ +255% |
| Aetna | Commercial|All Other Plans | $11.40 | ↑ +255% |
| Aetna | Commercial|PPO | $11.40 | ↑ +255% |
| Aetna | Medicare|All Plans | $11.40 | ↑ +255% |
| Aetna | Commercial|HMO | $11.40 | ↑ +255% |
| Molina | Medicaid|All Plans | $11.40 | ↑ +255% |
| Molina | Medicare|All Plans | $11.40 | ↑ +255% |
| Humana | Commercial|All Plans | $11.40 | ↑ +255% |
| United | Medicare|All Plans | $11.40 | ↑ +255% |
| United | Commercial|HMO | $11.40 | ↑ +255% |
| United | Commercial|Non-Options PPO | $11.40 | ↑ +255% |
| United | Medicaid|< 21 | $11.40 | ↑ +255% |
| United | Medicaid|> 21 | $11.40 | ↑ +255% |
| Health Net | Medicaid|All Plans | $11.40 | ↑ +255% |
| Partnership Health Plan | Medicaid|All Plans | $11.40 | ↑ +255% |
| California Health & Wellness | Medicaid|All Plans | $11.40 | ↑ +255% |
| Hill Physicians | Commercial|All Plans | $11.40 | ↑ +255% |
| Hill Physicians | Medicaid|All Plans | $11.40 | ↑ +255% |
| Hill Physicians | Medicare|All Plans | $11.40 | ↑ +255% |
| Blue Shield CA | Medicare|PPO | $11.40 | ↑ +255% |
| BCBS - Anthem | Medicare|Imperial | $11.75 | ↑ +266% |
| BrightHealth | Commercial|All Plans | $12.54 | ↑ +291% |
| Prison Healthcare | Medicaid|All Plans | $17.10 | ↑ +433% |
| Cigna | Commercial|LocalPlus | $49.64 | ↑ +1446% |
| Cigna | Commercial|All Other Plans | $66.19 | ↑ +1962% |
Visitor-reported prices
Comments
Homovanillic acid (hva) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $4.24 | $3.99 – $49.64 |
| St. John's Camarillo Hospital | Camarillo | $6.44 | $3.97 – $59.47 |
| Banner Lassen Medical Center | Susanville | $10.64 | $4.48 – $18.81 |
| Petaluma Valley Hospital | Petaluma | $6.63 | $21.96 – $134.04 |
| Arroyo Grande Hospital | Santa Maria | $6.36 | $7.35 – $57.76 |
| French Hospital | San Luis Obispo | $5.83 | $3.97 – $67.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5.51 | $7.35 – $64.41 |
| Bakersfield Memorial Hospital | Bakersfield | $5.45 | $7.35 – $64.41 |