IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$96.58
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.
$443.00
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.
$29.72 with Hill Physicians vs $2,658.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $29.72 | ↓ -69% |
| Hill Physicians | Medicare|All Plans | $34.02 | ↓ -65% |
| United | Medicaid|> 21 | $35.63 | ↓ -63% |
| United | Medicaid|< 21 | $35.63 | ↓ -63% |
| Hill Physicians | Medicaid|All Plans | $43.31 | ↓ -55% |
| Molina | Medicaid|All Plans | $58.37 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $59.00 | ↓ -39% |
| BCBS - Anthem | Medicare|All Other Plans | $88.19 | ↓ -9% |
| Health Net | Medicaid|All Plans | $91.34 | ↓ -5% |
| California Health & Wellness | Medicaid|All Plans | $91.34 | ↓ -5% |
| United | Medicare|All Plans | $93.52 | ↓ -3% |
| Humana | Commercial|All Plans | $93.52 | ↓ -3% |
| Aetna | Medicare|All Plans | $93.52 | ↓ -3% |
| Molina | Medicare|All Plans | $93.52 | ↓ -3% |
| Blue Shield CA | Medicare|PPO | $93.52 | ↓ -3% |
| Blue Shield CA | Medicare|HMO | $93.52 | ↓ -3% |
| Kaiser | Medicare|All Plans | $93.52 | ↓ -3% |
| BCBS - Anthem | Medicare|Imperial | $96.33 | ↓ -0% |
| BrightHealth | Commercial|All Plans | $102.87 | ↑ +7% |
| Partnership Health Plan | Medicaid|All Plans | $133.52 | ↑ +38% |
| Aetna | Commercial|PPO | $138.46 | ↑ +43% |
| Aetna | Commercial|HMO | $138.46 | ↑ +43% |
| Aetna | Commercial|All Other Plans | $138.46 | ↑ +43% |
| Prison Healthcare | Medicaid|All Plans | $140.28 | ↑ +45% |
| Western Health Advantage | Commercial|All Plans | $155.05 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $181.63 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $279.09 | ↑ +189% |
| Blue Shield CA | Commercial|Exchange | $287.95 | ↑ +198% |
| Cigna | Commercial|LocalPlus | $292.38 | ↑ +203% |
| Healthsmart | Commercial|All Plans | $318.96 | ↑ +230% |
| First Health | Commercial|All Plans | $332.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $349.97 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $354.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $354.40 | ↑ +267% |
| Cigna | Commercial|All Other Plans | $389.84 | ↑ +304% |
| Blue Shield CA | Commercial|HMO | $398.70 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $398.70 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $403.13 | ↑ +317% |
| United | Commercial|HMO | $443.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $443.00 | ↑ +359% |
| United | Commercial|All Other Plans | $443.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $1,429.00 | ↑ +1380% |
| BCBS - Anthem | Commercial|Connection EPO | $2,126.00 | ↑ +2101% |
| BCBS - Anthem | Commercial|All Other Plans | $2,658.00 | ↑ +2652% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $127.59 | $29.72 – $367.69 |
| St. John's Camarillo Hospital | Camarillo | $240.90 | $43.82 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $146.51 | $14.23 – $212.43 |
| Petaluma Valley Hospital | Petaluma | $134.64 | $97.03 – $99.01 |
| Arroyo Grande Hospital | Santa Maria | $153.23 | $35.63 – $995.00 |
| Mark Twain Medical Center | San Andreas | $692.64 | $35.63 – $1,002.54 |
| French Hospital | San Luis Obispo | $140.34 | $35.63 – $325.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $287.53 | $35.63 – $706.00 |