Infect ag if influenza a at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$16.79
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.
$77.00
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.
$5.97 with Partnership Health Plan vs $77.00 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 | $5.97 | ↓ -64% |
| United | Medicaid|> 21 | $8.56 | ↓ -49% |
| United | Medicaid|< 21 | $8.56 | ↓ -49% |
| Hill Physicians | Medicaid|All Plans | $9.42 | ↓ -44% |
| Molina | Medicaid|All Plans | $11.22 | ↓ -33% |
| BCBS - Anthem | Medicare|All Other Plans | $15.15 | ↓ -10% |
| Molina | Medicare|All Plans | $16.07 | ↓ -4% |
| Humana | Commercial|All Plans | $16.07 | ↓ -4% |
| United | Medicare|All Plans | $16.07 | ↓ -4% |
| Blue Shield CA | Medicare|HMO | $16.07 | ↓ -4% |
| Blue Shield CA | Medicare|PPO | $16.07 | ↓ -4% |
| Hill Physicians | Medicare|All Plans | $16.07 | ↓ -4% |
| Aetna | Medicare|All Plans | $16.07 | ↓ -4% |
| Hill Physicians | Commercial|All Plans | $16.07 | ↓ -4% |
| Kaiser | Medicare|All Plans | $16.07 | ↓ -4% |
| BCBS - Anthem | Medicare|Imperial | $16.55 | ↓ -1% |
| BrightHealth | Commercial|All Plans | $17.68 | ↑ +5% |
| United | Commercial|HMO | $19.28 | ↑ +15% |
| United | Commercial|All Other Plans | $19.28 | ↑ +15% |
| United | Commercial|Non-Options PPO | $19.28 | ↑ +15% |
| Health Net | Medicaid|All Plans | $19.86 | ↑ +18% |
| California Health & Wellness | Medicaid|All Plans | $19.86 | ↑ +18% |
| BCBS - Anthem | Medicaid|All Plans | $21.91 | ↑ +30% |
| Prison Healthcare | Medicaid|All Plans | $24.11 | ↑ +44% |
| Western Health Advantage | Commercial|All Plans | $26.95 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $31.57 | ↑ +88% |
| Aetna | Commercial|All Other Plans | $33.94 | ↑ +102% |
| Aetna | Commercial|HMO | $33.94 | ↑ +102% |
| Aetna | Commercial|PPO | $33.94 | ↑ +102% |
| Cigna | Commercial|LocalPlus | $35.60 | ↑ +112% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $36.19 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $38.50 | ↑ +129% |
| Cigna | Commercial|All Other Plans | $47.47 | ↑ +183% |
| Blue Shield CA | Commercial|HMO | $52.36 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $55.44 | ↑ +230% |
| Blue Shield CA | Commercial|All Other Plans | $56.21 | ↑ +235% |
| Blue Shield CA | Commercial|CalPers | $56.21 | ↑ +235% |
| First Health | Commercial|All Plans | $57.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $60.83 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $61.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $61.60 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $61.60 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $77.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $77.00 | ↑ +359% |
Visitor-reported prices
Comments
Infect ag if influenza a at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $22.18 | $5.97 – $63.91 |
| Petaluma Valley Hospital | Petaluma | $24.48 | $15.75 – $73.37 |
| Arroyo Grande Hospital | Santa Maria | $3.66 | $4.27 – $41.42 |
| French Hospital | San Luis Obispo | $3.35 | $2.31 – $48.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3.17 | $4.27 – $46.20 |
| Bakersfield Memorial Hospital | Bakersfield | $3.14 | $4.27 – $46.20 |
| Queen of The Valley Medical Center | Napa | $24.48 | $16.07 – $92.72 |
| Providence St Joseph Hospital Eureka | Eureka | $24.48 | $16.07 – $105.14 |