IV infusion therapy/prophylaxis/diagnosis concurrent infusion at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$68.46
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.
$314.00
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.
$20.45 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $20.45 | ↓ -70% |
| United | Medicaid|> 21 | $20.61 | ↓ -70% |
| United | Medicaid|< 21 | $20.61 | ↓ -70% |
| Hill Physicians | Medicare|All Plans | $22.54 | ↓ -67% |
| Hill Physicians | Medicaid|All Plans | $25.06 | ↓ -63% |
| Molina | Medicaid|All Plans | $33.76 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $34.12 | ↓ -50% |
| Health Net | Medicaid|All Plans | $52.85 | ↓ -23% |
| California Health & Wellness | Medicaid|All Plans | $52.85 | ↓ -23% |
| Western Health Advantage | Commercial|All Plans | $71.40 | ↑ +4% |
| Partnership Health Plan | Medicaid|All Plans | $77.23 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $80.57 | ↑ +18% |
| Aetna | Commercial|PPO | $80.57 | ↑ +18% |
| Aetna | Commercial|HMO | $80.57 | ↑ +18% |
| Kaiser | Medicaid|All Plans | $83.64 | ↑ +22% |
| Cigna | Commercial|LocalPlus | $134.64 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $136.68 | ↑ +100% |
| Healthsmart | Commercial|All Plans | $146.88 | ↑ +115% |
| First Health | Commercial|All Plans | $153.00 | ↑ +123% |
| Blue Shield CA | Commercial|Exchange | $155.04 | ↑ +126% |
| Kaiser | Commercial|All Plans | $161.16 | ↑ +135% |
| Sutter Health | Commercial|All Plans | $163.20 | ↑ +138% |
| MultiPlan | Commercial|All Plans | $163.20 | ↑ +138% |
| Cigna | Commercial|All Other Plans | $179.52 | ↑ +162% |
| Blue Shield CA | Commercial|All Other Plans | $183.60 | ↑ +168% |
| Blue Shield CA | Commercial|HMO | $183.60 | ↑ +168% |
| Blue Shield CA | Commercial|CalPers | $185.64 | ↑ +171% |
| BCBS - Anthem | Commercial|All Other Plans | $204.00 | ↑ +198% |
| BCBS - Anthem | Commercial|Connection EPO | $204.00 | ↑ +198% |
| United | Commercial|All Other Plans | $314.00 | ↑ +359% |
| United | Commercial|HMO | $314.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $1,429.00 | ↑ +1987% |
| BCBS - Anthem | Commercial|MCS | $3,854.00 | ↑ +5530% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis concurrent infusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $90.44 | $20.45 – $169.32 |
| St. John's Camarillo Hospital | Camarillo | $241.34 | $25.35 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $127.11 | $29.63 – $184.30 |
| Petaluma Valley Hospital | Petaluma | $63.75 | not published |
| Arroyo Grande Hospital | Santa Maria | $107.86 | $20.61 – $995.00 |
| Mark Twain Medical Center | San Andreas | $477.53 | $20.61 – $702.66 |
| French Hospital | San Luis Obispo | $98.79 | $20.61 – $191.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $225.57 | $20.61 – $229.00 |