Inj crotalidae im f(ab')2 eq at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,381.25
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.
$6,336.00
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.
$1,043.55 with Partnership Health Plan vs $6,336.00 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 | $1,043.55 | ↓ -24% |
| Hill Physicians | Commercial|All Plans | $1,106.16 | ↓ -20% |
| Health Net | Commercial|EPPO | $1,140.48 | ↓ -17% |
| Hill Physicians | Medicaid|All Plans | $1,147.91 | ↓ -17% |
| Hill Physicians | Medicare|All Plans | $1,263.49 | ↓ -9% |
| BCBS - Anthem | Medicare|All Other Plans | $1,293.89 | ↓ -6% |
| Western Health Advantage | Commercial|All Plans | $1,317.60 | ↓ -5% |
| Humana | Commercial|All Plans | $1,372.10 | ↓ -1% |
| Aetna | Medicare|All Plans | $1,372.10 | ↓ -1% |
| Molina | Medicare|All Plans | $1,372.10 | ↓ -1% |
| United | Medicare|All Plans | $1,372.10 | ↓ -1% |
| Kaiser | Medicare|All Plans | $1,372.10 | ↓ -1% |
| Blue Shield CA | Medicare|HMO | $1,372.10 | ↓ -1% |
| Blue Shield CA | Medicare|PPO | $1,372.10 | ↓ -1% |
| BCBS - Anthem | Medicare|Imperial | $1,413.26 | ↑ +2% |
| BrightHealth | Commercial|All Plans | $1,509.31 | ↑ +9% |
| Blue Shield CA | Commercial|CalPers | $1,584.00 | ↑ +15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,584.00 | ↑ +15% |
| Blue Shield CA | Commercial|HMO | $1,584.00 | ↑ +15% |
| Blue Shield CA | Commercial|Exchange | $1,584.00 | ↑ +15% |
| Blue Shield CA | Commercial|All Other Plans | $1,584.00 | ↑ +15% |
| United | Commercial|Non-Options PPO | $1,687.04 | ↑ +22% |
| United | Commercial|All Other Plans | $1,694.83 | ↑ +23% |
| United | Commercial|HMO | $1,694.83 | ↑ +23% |
| Molina | Medicaid|All Plans | $1,961.87 | ↑ +42% |
| Prison Healthcare | Medicaid|All Plans | $2,058.15 | ↑ +49% |
| Health Net | Commercial|FFS | $2,122.56 | ↑ +54% |
| BCBS - Anthem | Medicaid|All Plans | $2,124.14 | ↑ +54% |
| Aetna | Commercial|All Other Plans | $2,149.71 | ↑ +56% |
| Aetna | Commercial|PPO | $2,149.71 | ↑ +56% |
| Aetna | Commercial|HMO | $2,149.71 | ↑ +56% |
| Health Net | Medicaid|All Plans | $2,421.04 | ↑ +75% |
| California Health & Wellness | Medicaid|All Plans | $2,421.04 | ↑ +75% |
| Cigna | Commercial|LocalPlus | $2,427.30 | ↑ +76% |
| Kaiser | Medicaid|All Plans | $2,597.76 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $3,237.09 | ↑ +134% |
| BCBS - Anthem | Commercial|Connection EPO | $3,690.76 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $4,561.92 | ↑ +230% |
| BCBS - Anthem | Commercial|All Other Plans | $4,613.48 | ↑ +234% |
| First Health | Commercial|All Plans | $4,752.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $5,005.44 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $5,068.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $5,068.80 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $6,336.00 | ↑ +359% |
Visitor-reported prices
Comments
Inj crotalidae im f(ab')2 eq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $425.29 | $393.61 – $1,721.86 |
| Petaluma Valley Hospital | Petaluma | $2,859.84 | $1,623.56 – $2,243.63 |
| Arroyo Grande Hospital | Santa Maria | $6,779.52 | $1,269.93 – $15,523.20 |
| French Hospital | San Luis Obispo | $6,209.28 | $1,043.55 – $15,523.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,339.16 | $839.52 – $5,044.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,313.94 | $1,326.68 – $4,980.95 |
| Queen of The Valley Medical Center | Napa | $2,859.84 | $1,757.43 – $2,243.63 |
| Providence St Joseph Hospital Eureka | Eureka | $2,859.84 | $2,088.28 – $2,243.63 |