Infect ag phenotype na hiv-1 ea addl drg at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$25.16
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.
$115.40
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.
$23.17 with United vs $98.74 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $23.17 | ↓ -8% |
| Partnership Health Plan | Medicaid|All Plans | $23.17 | ↓ -8% |
| United | Medicaid|< 21 | $23.17 | ↓ -8% |
| BCBS - Anthem | Medicare|All Other Plans | $24.58 | ↓ -2% |
| Hill Physicians | Medicaid|All Plans | $25.49 | ↑ +1% |
| Blue Shield CA | Medicare|PPO | $26.07 | ↑ +4% |
| Kaiser | Medicare|All Plans | $26.07 | ↑ +4% |
| United | Medicare|All Plans | $26.07 | ↑ +4% |
| Molina | Medicare|All Plans | $26.07 | ↑ +4% |
| Humana | Commercial|All Plans | $26.07 | ↑ +4% |
| Hill Physicians | Medicare|All Plans | $26.07 | ↑ +4% |
| Hill Physicians | Commercial|All Plans | $26.07 | ↑ +4% |
| Aetna | Medicare|All Plans | $26.07 | ↑ +4% |
| Blue Shield CA | Medicare|HMO | $26.07 | ↑ +4% |
| BCBS - Anthem | Medicare|Imperial | $26.85 | ↑ +7% |
| BrightHealth | Commercial|All Plans | $28.68 | ↑ +14% |
| United | Commercial|HMO | $31.28 | ↑ +24% |
| United | Commercial|All Other Plans | $31.28 | ↑ +24% |
| United | Commercial|Non-Options PPO | $31.28 | ↑ +24% |
| Western Health Advantage | Commercial|All Plans | $34.56 | ↑ +37% |
| Prison Healthcare | Medicaid|All Plans | $39.10 | ↑ +55% |
| Kaiser | Medicaid|All Plans | $40.49 | ↑ +61% |
| Molina | Medicaid|All Plans | $43.56 | ↑ +73% |
| BCBS - Anthem | Medicaid|All Plans | $44.02 | ↑ +75% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $46.41 | ↑ +84% |
| Blue Shield CA | Commercial|Exchange | $49.37 | ↑ +96% |
| California Health & Wellness | Medicaid|All Plans | $53.75 | ↑ +114% |
| Health Net | Medicaid|All Plans | $53.75 | ↑ +114% |
| Cigna | Commercial|LocalPlus | $57.75 | ↑ +130% |
| Blue Shield CA | Commercial|HMO | $67.15 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $71.10 | ↑ +183% |
| Blue Shield CA | Commercial|All Other Plans | $72.09 | ↑ +187% |
| Blue Shield CA | Commercial|CalPers | $72.09 | ↑ +187% |
| First Health | Commercial|All Plans | $74.06 | ↑ +194% |
| Cigna | Commercial|All Other Plans | $77.00 | ↑ +206% |
| Kaiser | Commercial|All Plans | $78.01 | ↑ +210% |
| BCBS - Anthem | Commercial|Connection EPO | $79.00 | ↑ +214% |
| MultiPlan | Commercial|All Plans | $79.00 | ↑ +214% |
| Sutter Health | Commercial|All Plans | $79.00 | ↑ +214% |
| Aetna | Commercial|HMO | $95.22 | ↑ +278% |
| Aetna | Commercial|PPO | $95.22 | ↑ +278% |
| Aetna | Commercial|All Other Plans | $95.22 | ↑ +278% |
| BCBS - Anthem | Commercial|All Other Plans | $98.74 | ↑ +292% |
| BCBS - Anthem | Commercial|MCS | $98.74 | ↑ +292% |
Visitor-reported prices
Comments
Infect ag phenotype na hiv-1 ea addl drg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $33.24 | $23.17 – $81.96 |
| St. John's Camarillo Hospital | Camarillo | $50.55 | $23.95 – $69.19 |
| Arroyo Grande Hospital | Santa Maria | $49.40 | $20.85 – $86.90 |
| French Hospital | San Luis Obispo | $45.24 | $20.85 – $86.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42.82 | $23.17 – $74.94 |
| Bakersfield Memorial Hospital | Bakersfield | $42.36 | $23.17 – $74.94 |
| St. Joseph's Behavioral Health Center | Stockton | $65.90 | $8.87 – $70.94 |
| St. Joseph's Medical Center Stockton | Stockton | $33.93 | $18.63 – $72.71 |