Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$88.08
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.
$404.00
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.
$11.41 with Western Health Advantage vs $110.08 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 | $11.41 | ↓ -87% |
| Kaiser | Medicaid|All Plans | $13.37 | ↓ -85% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15.33 | ↓ -83% |
| Blue Shield CA | Commercial|Exchange | $16.30 | ↓ -81% |
| Blue Shield CA | Commercial|HMO | $22.17 | ↓ -75% |
| Healthsmart | Commercial|All Plans | $23.48 | ↓ -73% |
| Blue Shield CA | Commercial|All Other Plans | $23.80 | ↓ -73% |
| Blue Shield CA | Commercial|CalPers | $23.80 | ↓ -73% |
| First Health | Commercial|All Plans | $24.45 | ↓ -72% |
| Kaiser | Commercial|All Plans | $25.76 | ↓ -71% |
| Sutter Health | Commercial|All Plans | $26.08 | ↓ -70% |
| BCBS - Anthem | Commercial|Connection EPO | $26.08 | ↓ -70% |
| MultiPlan | Commercial|All Plans | $26.08 | ↓ -70% |
| Partnership Health Plan | Medicaid|All Plans | $28.64 | ↓ -67% |
| United | Medicaid|< 21 | $28.64 | ↓ -67% |
| United | Medicaid|> 21 | $28.64 | ↓ -67% |
| BCBS - Anthem | Medicare|All Other Plans | $30.75 | ↓ -65% |
| Hill Physicians | Medicaid|All Plans | $31.50 | ↓ -64% |
| United | Commercial|All Other Plans | $32.60 | ↓ -63% |
| Aetna | Commercial|All Other Plans | $32.60 | ↓ -63% |
| Aetna | Commercial|PPO | $32.60 | ↓ -63% |
| Aetna | Medicare|All Plans | $32.60 | ↓ -63% |
| Aetna | Commercial|HMO | $32.60 | ↓ -63% |
| Molina | Medicaid|All Plans | $32.60 | ↓ -63% |
| Molina | Medicare|All Plans | $32.60 | ↓ -63% |
| Humana | Commercial|All Plans | $32.60 | ↓ -63% |
| United | Medicare|All Plans | $32.60 | ↓ -63% |
| United | Commercial|HMO | $32.60 | ↓ -63% |
| United | Commercial|Non-Options PPO | $32.60 | ↓ -63% |
| Health Net | Medicaid|All Plans | $32.60 | ↓ -63% |
| Kaiser | Medicare|All Plans | $32.60 | ↓ -63% |
| BCBS - Anthem | Commercial|All Other Plans | $32.60 | ↓ -63% |
| BCBS - Anthem | Medicaid|All Plans | $32.60 | ↓ -63% |
| BCBS - Anthem | Commercial|MCS | $32.60 | ↓ -63% |
| Blue Shield CA | Medicare|HMO | $32.60 | ↓ -63% |
| Blue Shield CA | Medicare|PPO | $32.60 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $32.60 | ↓ -63% |
| Hill Physicians | Commercial|All Plans | $32.60 | ↓ -63% |
| Hill Physicians | Medicare|All Plans | $32.60 | ↓ -63% |
| BCBS - Anthem | Medicare|Imperial | $33.58 | ↓ -62% |
| BrightHealth | Commercial|All Plans | $35.86 | ↓ -59% |
| Prison Healthcare | Medicaid|All Plans | $48.90 | ↓ -44% |
| Cigna | Commercial|LocalPlus | $82.55 | ↓ -6% |
| Cigna | Commercial|All Other Plans | $110.08 | ↑ +25% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $116.36 | $11.41 – $82.55 |
| St. John's Camarillo Hospital | Camarillo | $165.57 | $37.27 – $294.84 |
| Banner Lassen Medical Center | Susanville | $62.50 | $7.45 – $50.44 |
| Petaluma Valley Hospital | Petaluma | $932.79 | $36.52 – $336.45 |
| Arroyo Grande Hospital | Santa Maria | $205.87 | $28.64 – $96.05 |
| Mark Twain Medical Center | San Andreas | $271.73 | $28.64 – $91.32 |
| French Hospital | San Luis Obispo | $188.56 | $25.38 – $112.91 |
| Mercy Hospitals – Bakersfield | Bakersfield | $49.72 | $28.64 – $107.12 |