Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$158.49
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.
$727.00
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.
$91.70 with Western Health Advantage vs $3,854.00 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $91.70 | ↓ -42% |
| Kaiser | Medicaid|All Plans | $107.42 | ↓ -32% |
| Cigna | Commercial|LocalPlus | $172.92 | ↑ +9% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $175.54 | ↑ +11% |
| Healthsmart | Commercial|All Plans | $188.64 | ↑ +19% |
| First Health | Commercial|All Plans | $196.50 | ↑ +24% |
| Blue Shield CA | Commercial|Exchange | $199.12 | ↑ +26% |
| Kaiser | Commercial|All Plans | $206.98 | ↑ +31% |
| MultiPlan | Commercial|All Plans | $209.60 | ↑ +32% |
| Sutter Health | Commercial|All Plans | $209.60 | ↑ +32% |
| Aetna | Commercial|HMO | $225.32 | ↑ +42% |
| Aetna | Commercial|All Other Plans | $225.32 | ↑ +42% |
| Aetna | Commercial|PPO | $225.32 | ↑ +42% |
| Cigna | Commercial|All Other Plans | $230.56 | ↑ +45% |
| Blue Shield CA | Commercial|All Other Plans | $235.80 | ↑ +49% |
| Blue Shield CA | Commercial|HMO | $235.80 | ↑ +49% |
| Blue Shield CA | Commercial|CalPers | $238.42 | ↑ +50% |
| BCBS - Anthem | Commercial|All Other Plans | $262.00 | ↑ +65% |
| Health Net | Medicaid|All Plans | $336.00 | ↑ +112% |
| California Health & Wellness | Medicaid|All Plans | $336.00 | ↑ +112% |
| United | Commercial|HMO | $727.00 | ↑ +359% |
| United | Commercial|All Other Plans | $727.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $1,429.00 | ↑ +802% |
| BCBS - Anthem | Commercial|Connection EPO | $2,126.00 | ↑ +1241% |
| BCBS - Anthem | Commercial|MCS | $3,854.00 | ↑ +2332% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $209.38 | $91.70 – $727.00 |
| St. John's Camarillo Hospital | Camarillo | $123.52 | $66.96 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $61.82 | $39.36 – $93.12 |
| Petaluma Valley Hospital | Petaluma | $148.41 | not published |
| Arroyo Grande Hospital | Santa Maria | $265.79 | $112.50 – $1,208.00 |
| Mark Twain Medical Center | San Andreas | $231.11 | $32.86 – $124.46 |
| French Hospital | San Luis Obispo | $221.09 | $57.51 – $213.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $206.28 | $72.90 – $281.00 |