Immunoassay tumor antigen quantitative ca 19-9 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$43.17
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.
$198.00
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.
$6.72 with Western Health Advantage vs $61.47 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 | $6.72 | ↓ -84% |
| Kaiser | Medicaid|All Plans | $7.87 | ↓ -82% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $9.02 | ↓ -79% |
| Blue Shield CA | Commercial|Exchange | $9.59 | ↓ -78% |
| Blue Shield CA | Commercial|HMO | $13.05 | ↓ -70% |
| Healthsmart | Commercial|All Plans | $13.81 | ↓ -68% |
| Blue Shield CA | Commercial|CalPers | $14.01 | ↓ -68% |
| Blue Shield CA | Commercial|All Other Plans | $14.01 | ↓ -68% |
| First Health | Commercial|All Plans | $14.39 | ↓ -67% |
| Kaiser | Commercial|All Plans | $15.16 | ↓ -65% |
| BCBS - Anthem | Commercial|Connection EPO | $15.35 | ↓ -64% |
| MultiPlan | Commercial|All Plans | $15.35 | ↓ -64% |
| Sutter Health | Commercial|All Plans | $15.35 | ↓ -64% |
| BCBS - Anthem | Medicare|All Other Plans | $18.09 | ↓ -58% |
| Partnership Health Plan | Medicaid|All Plans | $18.50 | ↓ -57% |
| United | Medicaid|> 21 | $18.50 | ↓ -57% |
| United | Medicaid|< 21 | $18.50 | ↓ -57% |
| Blue Shield CA | Medicare|PPO | $19.18 | ↓ -56% |
| United | Commercial|All Other Plans | $19.18 | ↓ -56% |
| Aetna | Commercial|All Other Plans | $19.18 | ↓ -56% |
| Aetna | Commercial|PPO | $19.18 | ↓ -56% |
| Aetna | Medicare|All Plans | $19.18 | ↓ -56% |
| Aetna | Commercial|HMO | $19.18 | ↓ -56% |
| Molina | Medicaid|All Plans | $19.18 | ↓ -56% |
| Molina | Medicare|All Plans | $19.18 | ↓ -56% |
| Humana | Commercial|All Plans | $19.18 | ↓ -56% |
| United | Medicare|All Plans | $19.18 | ↓ -56% |
| United | Commercial|HMO | $19.18 | ↓ -56% |
| United | Commercial|Non-Options PPO | $19.18 | ↓ -56% |
| Health Net | Medicaid|All Plans | $19.18 | ↓ -56% |
| Kaiser | Medicare|All Plans | $19.18 | ↓ -56% |
| BCBS - Anthem | Commercial|All Other Plans | $19.18 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $19.18 | ↓ -56% |
| BCBS - Anthem | Commercial|MCS | $19.18 | ↓ -56% |
| Blue Shield CA | Medicare|HMO | $19.18 | ↓ -56% |
| California Health & Wellness | Medicaid|All Plans | $19.18 | ↓ -56% |
| Hill Physicians | Commercial|All Plans | $19.18 | ↓ -56% |
| Hill Physicians | Medicaid|All Plans | $19.18 | ↓ -56% |
| Hill Physicians | Medicare|All Plans | $19.18 | ↓ -56% |
| BCBS - Anthem | Medicare|Imperial | $19.76 | ↓ -54% |
| BrightHealth | Commercial|All Plans | $21.10 | ↓ -51% |
| Prison Healthcare | Medicaid|All Plans | $28.77 | ↓ -33% |
| Cigna | Commercial|LocalPlus | $46.10 | ↑ +7% |
| Cigna | Commercial|All Other Plans | $61.47 | ↑ +42% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 19-9 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $57.03 | $6.72 – $46.10 |
| St. John's Camarillo Hospital | Camarillo | $79.28 | $1.89 – $55.23 |
| Banner Lassen Medical Center | Susanville | $7.64 | $4.16 – $30.52 |
| Petaluma Valley Hospital | Petaluma | $198.90 | $20.39 – $169.76 |
| Mark Twain Medical Center | San Andreas | $34.66 | $18.50 – $50.99 |
| Mercy Hospitals – Bakersfield | Bakersfield | $67.16 | $3.50 – $59.82 |
| Bakersfield Memorial Hospital | Bakersfield | $66.43 | $3.50 – $59.82 |
| Queen of The Valley Medical Center | Napa | $340.17 | $20.81 – $214.54 |