Inj., benralizumab, 1 mg at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,047.36
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.
$23,153.00
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.
$163.49 with Health Net vs $18,522.40 with Sutter Health — 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 |
|---|---|---|---|
| Health Net | Commercial|EPPO | $163.49 | ↓ -97% |
| Partnership Health Plan | Medicaid|All Plans | $167.76 | ↓ -97% |
| Hill Physicians | Medicare|All Plans | $171.30 | ↓ -97% |
| Hill Physicians | Commercial|All Plans | $173.10 | ↓ -97% |
| Western Health Advantage | Commercial|All Plans | $173.65 | ↓ -97% |
| Hill Physicians | Medicaid|All Plans | $184.54 | ↓ -96% |
| BCBS - Anthem | Medicare|All Other Plans | $208.35 | ↓ -96% |
| Humana | Commercial|All Plans | $220.94 | ↓ -96% |
| Aetna | Medicare|All Plans | $220.94 | ↓ -96% |
| Molina | Medicare|All Plans | $220.94 | ↓ -96% |
| United | Medicare|All Plans | $220.94 | ↓ -96% |
| Kaiser | Medicare|All Plans | $220.94 | ↓ -96% |
| Blue Shield CA | Medicare|HMO | $220.94 | ↓ -96% |
| Blue Shield CA | Medicare|PPO | $220.94 | ↓ -96% |
| BCBS - Anthem | Medicare|Imperial | $227.57 | ↓ -95% |
| Blue Shield CA | Commercial|All Other Plans | $233.88 | ↓ -95% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $233.88 | ↓ -95% |
| Blue Shield CA | Commercial|HMO | $233.88 | ↓ -95% |
| Blue Shield CA | Commercial|Exchange | $233.88 | ↓ -95% |
| Blue Shield CA | Commercial|CalPers | $233.88 | ↓ -95% |
| BrightHealth | Commercial|All Plans | $243.03 | ↓ -95% |
| United | Commercial|All Other Plans | $273.72 | ↓ -95% |
| United | Commercial|HMO | $273.72 | ↓ -95% |
| United | Commercial|Non-Options PPO | $276.28 | ↓ -95% |
| Health Net | Commercial|FFS | $313.40 | ↓ -94% |
| Molina | Medicaid|All Plans | $315.39 | ↓ -94% |
| Prison Healthcare | Medicaid|All Plans | $331.41 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $332.54 | ↓ -93% |
| Aetna | Commercial|PPO | $336.40 | ↓ -93% |
| Aetna | Commercial|HMO | $336.40 | ↓ -93% |
| Aetna | Commercial|All Other Plans | $336.40 | ↓ -93% |
| Cigna | Commercial|LocalPlus | $379.84 | ↓ -92% |
| Health Net | Medicaid|All Plans | $389.20 | ↓ -92% |
| California Health & Wellness | Medicaid|All Plans | $389.20 | ↓ -92% |
| BCBS - Anthem | Commercial|Connection EPO | $479.21 | ↓ -91% |
| Cigna | Commercial|All Other Plans | $506.56 | ↓ -90% |
| BCBS - Anthem | Commercial|All Other Plans | $599.02 | ↓ -88% |
| BCBS - Anthem | Commercial|MCS | $869.09 | ↓ -83% |
| Kaiser | Medicaid|All Plans | $9,492.73 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $16,670.16 | ↑ +230% |
| First Health | Commercial|All Plans | $17,364.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $18,290.87 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $18,522.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $18,522.40 | ↑ +267% |
Visitor-reported prices
Comments
Inj., benralizumab, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $6,668.07 | $167.76 – $19,216.99 |
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $177.07 – $36,750.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8,546.73 | $120.35 – $18,429.60 |
| Bakersfield Memorial Hospital | Bakersfield | $8,454.58 | $213.63 – $18,199.23 |
| St. Joseph's Medical Center Stockton | Stockton | $5,530.73 | $172.68 – $15,425.84 |
| Mercy Medical Center Merced | Merced | $5,962.16 | $167.76 – $10,882.38 |
| Dominican Hospital | Santa Cruz | $6,808.50 | $167.76 – $12,860.50 |
| Northridge Hospital Medical Center | Northridge | $3,883.68 | $140.78 – $13,920.00 |