Infect ag na resp virus 12-25 targets at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$254.19
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.
$1,166.00
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.
$135.94 with Western Health Advantage vs $1,230.74 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 | $135.94 | ↓ -47% |
| Kaiser | Medicaid|All Plans | $159.24 | ↓ -37% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $182.55 | ↓ -28% |
| Blue Shield CA | Commercial|Exchange | $194.20 | ↓ -24% |
| Blue Shield CA | Commercial|HMO | $264.11 | ↑ +4% |
| Healthsmart | Commercial|All Plans | $279.65 | ↑ +10% |
| Blue Shield CA | Commercial|CalPers | $283.53 | ↑ +12% |
| Blue Shield CA | Commercial|All Other Plans | $283.53 | ↑ +12% |
| First Health | Commercial|All Plans | $291.30 | ↑ +15% |
| Kaiser | Commercial|All Plans | $306.83 | ↑ +21% |
| BCBS - Anthem | Commercial|Connection EPO | $310.72 | ↑ +22% |
| MultiPlan | Commercial|All Plans | $310.72 | ↑ +22% |
| Sutter Health | Commercial|All Plans | $310.72 | ↑ +22% |
| BCBS - Anthem | Medicare|All Other Plans | $366.26 | ↑ +44% |
| Partnership Health Plan | Medicaid|All Plans | $370.47 | ↑ +46% |
| United | Medicaid|> 21 | $370.47 | ↑ +46% |
| United | Medicaid|< 21 | $370.47 | ↑ +46% |
| Blue Shield CA | Medicare|PPO | $388.39 | ↑ +53% |
| United | Commercial|All Other Plans | $388.39 | ↑ +53% |
| Aetna | Commercial|All Other Plans | $388.39 | ↑ +53% |
| Aetna | Commercial|PPO | $388.39 | ↑ +53% |
| Aetna | Medicare|All Plans | $388.39 | ↑ +53% |
| Aetna | Commercial|HMO | $388.39 | ↑ +53% |
| Molina | Medicaid|All Plans | $388.39 | ↑ +53% |
| Molina | Medicare|All Plans | $388.39 | ↑ +53% |
| Humana | Commercial|All Plans | $388.39 | ↑ +53% |
| United | Medicare|All Plans | $388.39 | ↑ +53% |
| United | Commercial|HMO | $388.39 | ↑ +53% |
| United | Commercial|Non-Options PPO | $388.39 | ↑ +53% |
| Health Net | Medicaid|All Plans | $388.39 | ↑ +53% |
| Kaiser | Medicare|All Plans | $388.39 | ↑ +53% |
| BCBS - Anthem | Commercial|All Other Plans | $388.39 | ↑ +53% |
| BCBS - Anthem | Medicaid|All Plans | $388.39 | ↑ +53% |
| BCBS - Anthem | Commercial|MCS | $388.39 | ↑ +53% |
| Blue Shield CA | Medicare|HMO | $388.39 | ↑ +53% |
| California Health & Wellness | Medicaid|All Plans | $388.39 | ↑ +53% |
| Hill Physicians | Commercial|All Plans | $388.39 | ↑ +53% |
| Hill Physicians | Medicaid|All Plans | $388.39 | ↑ +53% |
| Hill Physicians | Medicare|All Plans | $388.39 | ↑ +53% |
| BCBS - Anthem | Medicare|Imperial | $400.05 | ↑ +57% |
| BrightHealth | Commercial|All Plans | $427.23 | ↑ +68% |
| Prison Healthcare | Medicaid|All Plans | $582.59 | ↑ +129% |
| Cigna | Commercial|LocalPlus | $922.99 | ↑ +263% |
| Cigna | Commercial|All Other Plans | $1,230.74 | ↑ +384% |
Visitor-reported prices
Comments
Infect ag na resp virus 12-25 targets at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $335.81 | $135.94 – $922.99 |
| St. John's Camarillo Hospital | Camarillo | $298.72 | $184.14 – $1,105.85 |
| Petaluma Valley Hospital | Petaluma | $2,059.38 | $408.44 – $2,578.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | $765.01 | $275.00 – $1,197.69 |
| Bakersfield Memorial Hospital | Bakersfield | $681.52 | $275.00 – $1,197.69 |
| Queen of The Valley Medical Center | Napa | $4,926.60 | $416.78 – $3,258.76 |
| Providence St Joseph Hospital Eureka | Eureka | $2,246.55 | $416.78 – $6,159.03 |
| St. Joseph's Behavioral Health Center | Stockton | $879.34 | $55.00 – $440.00 |