Infect ag if hep delta agent at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$27.25
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.
$125.00
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.
$14.69 with Partnership Health Plan vs $125.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $14.69 | ↓ -46% |
| BCBS - Anthem | Medicare|All Other Plans | $17.31 | ↓ -36% |
| Hill Physicians | Medicare|All Plans | $18.36 | ↓ -33% |
| Aetna | Medicare|All Plans | $18.36 | ↓ -33% |
| Hill Physicians | Commercial|All Plans | $18.36 | ↓ -33% |
| United | Medicare|All Plans | $18.36 | ↓ -33% |
| Humana | Commercial|All Plans | $18.36 | ↓ -33% |
| Molina | Medicare|All Plans | $18.36 | ↓ -33% |
| Blue Shield CA | Medicare|PPO | $18.36 | ↓ -33% |
| Blue Shield CA | Medicare|HMO | $18.36 | ↓ -33% |
| Kaiser | Medicare|All Plans | $18.36 | ↓ -33% |
| BCBS - Anthem | Medicare|Imperial | $18.91 | ↓ -31% |
| BrightHealth | Commercial|All Plans | $20.20 | ↓ -26% |
| United | Medicaid|> 21 | $21.07 | ↓ -23% |
| United | Medicaid|< 21 | $21.07 | ↓ -23% |
| United | Commercial|All Other Plans | $22.03 | ↓ -19% |
| United | Commercial|HMO | $22.03 | ↓ -19% |
| United | Commercial|Non-Options PPO | $22.03 | ↓ -19% |
| Hill Physicians | Medicaid|All Plans | $23.18 | ↓ -15% |
| Prison Healthcare | Medicaid|All Plans | $27.54 | ↑ +1% |
| Molina | Medicaid|All Plans | $27.62 | ↑ +1% |
| Cigna | Commercial|LocalPlus | $40.65 | ↑ +49% |
| BCBS - Anthem | Medicaid|All Plans | $41.91 | ↑ +54% |
| Western Health Advantage | Commercial|All Plans | $43.75 | ↑ +61% |
| Health Net | Medicaid|All Plans | $48.88 | ↑ +79% |
| California Health & Wellness | Medicaid|All Plans | $48.88 | ↑ +79% |
| Kaiser | Medicaid|All Plans | $51.25 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $54.20 | ↑ +99% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $58.75 | ↑ +116% |
| Aetna | Commercial|HMO | $59.96 | ↑ +120% |
| Aetna | Commercial|PPO | $59.96 | ↑ +120% |
| Aetna | Commercial|All Other Plans | $59.96 | ↑ +120% |
| Blue Shield CA | Commercial|Exchange | $62.50 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $85.00 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $90.00 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $91.25 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $91.25 | ↑ +235% |
| First Health | Commercial|All Plans | $93.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $98.75 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $100.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $100.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $100.00 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $125.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $125.00 | ↑ +359% |
Visitor-reported prices
Comments
Infect ag if hep delta agent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $36.00 | $14.69 – $103.75 |
| St. John's Camarillo Hospital | Camarillo | $54.75 | $18.36 – $97.50 |
| Arroyo Grande Hospital | Santa Maria | $53.50 | $18.36 – $122.50 |
| French Hospital | San Luis Obispo | $49.00 | $18.36 – $122.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $46.38 | $18.36 – $100.00 |
| Bakersfield Memorial Hospital | Bakersfield | $45.88 | $18.36 – $98.75 |
| St. Joseph's Behavioral Health Center | Stockton | $71.38 | $12.50 – $100.00 |
| St. Joseph's Medical Center Stockton | Stockton | $36.75 | $15.61 – $102.50 |