Injection, fulvestrant at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,825.97
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.
$8,376.00
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.
$7.31 with Hill Physicians vs $624.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $7.31 | ↓ -100% |
| BCBS - Anthem | Medicare|All Other Plans | $8.65 | ↓ -100% |
| Kaiser | Medicare|All Plans | $9.17 | ↓ -99% |
| Aetna | Medicare|All Plans | $9.17 | ↓ -99% |
| Molina | Medicare|All Plans | $9.17 | ↓ -99% |
| United | Medicare|All Plans | $9.17 | ↓ -99% |
| Blue Shield CA | Medicare|PPO | $9.17 | ↓ -99% |
| Humana | Commercial|All Plans | $9.17 | ↓ -99% |
| Blue Shield CA | Medicare|HMO | $9.17 | ↓ -99% |
| BCBS - Anthem | Medicare|Imperial | $9.45 | ↓ -99% |
| BrightHealth | Commercial|All Plans | $10.09 | ↓ -99% |
| United | Commercial|HMO | $10.99 | ↓ -99% |
| United | Commercial|All Other Plans | $10.99 | ↓ -99% |
| Partnership Health Plan | Medicaid|All Plans | $11.36 | ↓ -99% |
| Hill Physicians | Medicaid|All Plans | $12.50 | ↓ -99% |
| Prison Healthcare | Medicaid|All Plans | $13.76 | ↓ -99% |
| Health Net | Commercial|EPPO | $14.04 | ↓ -99% |
| Aetna | Commercial|PPO | $14.21 | ↓ -99% |
| Aetna | Commercial|HMO | $14.21 | ↓ -99% |
| Aetna | Commercial|All Other Plans | $14.21 | ↓ -99% |
| Cigna | Commercial|LocalPlus | $16.05 | ↓ -99% |
| Blue Shield CA | Commercial|CalPers | $19.50 | ↓ -99% |
| Blue Shield CA | Commercial|All Other Plans | $19.50 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $19.50 | ↓ -99% |
| Blue Shield CA | Commercial|HMO | $19.50 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $19.50 | ↓ -99% |
| Molina | Medicaid|All Plans | $21.36 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $21.40 | ↓ -99% |
| BCBS - Anthem | Medicaid|All Plans | $24.36 | ↓ -99% |
| United | Commercial|Non-Options PPO | $25.82 | ↓ -99% |
| Health Net | Commercial|FFS | $26.14 | ↓ -99% |
| California Health & Wellness | Medicaid|All Plans | $26.36 | ↓ -99% |
| Health Net | Medicaid|All Plans | $26.36 | ↓ -99% |
| Hill Physicians | Medicare|All Plans | $54.77 | ↓ -97% |
| Western Health Advantage | Commercial|All Plans | $104.71 | ↓ -94% |
| BCBS - Anthem | Commercial|Connection EPO | $248.04 | ↓ -86% |
| BCBS - Anthem | Commercial|All Other Plans | $310.05 | ↓ -83% |
| Kaiser | Medicaid|All Plans | $319.80 | ↓ -82% |
| BCBS - Anthem | Commercial|MCS | $449.83 | ↓ -75% |
| Healthsmart | Commercial|All Plans | $561.60 | ↓ -69% |
| First Health | Commercial|All Plans | $585.00 | ↓ -68% |
| Kaiser | Commercial|All Plans | $616.20 | ↓ -66% |
| MultiPlan | Commercial|All Plans | $624.00 | ↓ -66% |
| Sutter Health | Commercial|All Plans | $624.00 | ↓ -66% |
Visitor-reported prices
Comments
Injection, fulvestrant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $144.83 | $8.86 – $257.91 |
| Mark Twain Medical Center | San Andreas | $2,744.26 | $1,065.98 – $4,038.09 |
| French Hospital | San Luis Obispo | $470.40 | $8.86 – $1,176.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,092.29 | $8.86 – $621.60 |
| Bakersfield Memorial Hospital | Bakersfield | $3,058.95 | $8.86 – $613.83 |
| Queen of The Valley Medical Center | Napa | $375.64 | $13.79 – $118.11 |
| Providence St Joseph Hospital Eureka | Eureka | $375.64 | $13.95 – $140.88 |
| St. Joseph's Medical Center Stockton | Stockton | $2,000.97 | $8.41 – $519.88 |