Ketone body(s) beta-hydroxybutyrate quantitative at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$96.80
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.
$444.00
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.
$2.51 with Western Health Advantage vs $24.12 with Cigna — 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 | $2.51 | ↓ -97% |
| Kaiser | Medicaid|All Plans | $2.94 | ↓ -97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3.37 | ↓ -97% |
| Blue Shield CA | Commercial|Exchange | $3.58 | ↓ -96% |
| Blue Shield CA | Commercial|HMO | $4.87 | ↓ -95% |
| Healthsmart | Commercial|All Plans | $5.15 | ↓ -95% |
| Blue Shield CA | Commercial|All Other Plans | $5.22 | ↓ -95% |
| Blue Shield CA | Commercial|CalPers | $5.22 | ↓ -95% |
| First Health | Commercial|All Plans | $5.37 | ↓ -94% |
| Kaiser | Commercial|All Plans | $5.65 | ↓ -94% |
| BCBS - Anthem | Commercial|Connection EPO | $5.72 | ↓ -94% |
| Sutter Health | Commercial|All Plans | $5.72 | ↓ -94% |
| MultiPlan | Commercial|All Plans | $5.72 | ↓ -94% |
| BCBS - Anthem | Medicare|All Other Plans | $6.75 | ↓ -93% |
| Kaiser | Medicare|All Plans | $7.15 | ↓ -93% |
| BCBS - Anthem | Commercial|All Other Plans | $7.15 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $7.15 | ↓ -93% |
| BCBS - Anthem | Commercial|MCS | $7.15 | ↓ -93% |
| Blue Shield CA | Medicare|HMO | $7.15 | ↓ -93% |
| United | Commercial|All Other Plans | $7.15 | ↓ -93% |
| Aetna | Commercial|All Other Plans | $7.15 | ↓ -93% |
| Aetna | Commercial|PPO | $7.15 | ↓ -93% |
| Aetna | Medicare|All Plans | $7.15 | ↓ -93% |
| Aetna | Commercial|HMO | $7.15 | ↓ -93% |
| Molina | Medicaid|All Plans | $7.15 | ↓ -93% |
| Molina | Medicare|All Plans | $7.15 | ↓ -93% |
| Humana | Commercial|All Plans | $7.15 | ↓ -93% |
| United | Medicare|All Plans | $7.15 | ↓ -93% |
| United | Commercial|HMO | $7.15 | ↓ -93% |
| United | Commercial|Non-Options PPO | $7.15 | ↓ -93% |
| United | Medicaid|< 21 | $7.15 | ↓ -93% |
| United | Medicaid|> 21 | $7.15 | ↓ -93% |
| Health Net | Medicaid|All Plans | $7.15 | ↓ -93% |
| Partnership Health Plan | Medicaid|All Plans | $7.15 | ↓ -93% |
| California Health & Wellness | Medicaid|All Plans | $7.15 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $7.15 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $7.15 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $7.15 | ↓ -93% |
| Blue Shield CA | Medicare|PPO | $7.15 | ↓ -93% |
| BCBS - Anthem | Medicare|Imperial | $7.37 | ↓ -92% |
| BrightHealth | Commercial|All Plans | $7.87 | ↓ -92% |
| Prison Healthcare | Medicaid|All Plans | $10.73 | ↓ -89% |
| Cigna | Commercial|LocalPlus | $18.09 | ↓ -81% |
| Cigna | Commercial|All Other Plans | $24.12 | ↓ -75% |
Visitor-reported prices
Comments
Ketone body(s) beta-hydroxybutyrate quantitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $127.88 | $2.51 – $18.09 |
| St. John's Camarillo Hospital | Camarillo | $61.32 | $8.17 – $25.50 |
| Banner Lassen Medical Center | Susanville | $13.77 | $1.63 – $11.80 |
| Petaluma Valley Hospital | Petaluma | $52.02 | $8.01 – $66.33 |
| Arroyo Grande Hospital | Santa Maria | $30.39 | $7.50 – $21.05 |
| Mark Twain Medical Center | San Andreas | $9.99 | $8.12 – $14.70 |
| French Hospital | San Luis Obispo | $27.84 | $4.05 – $24.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $129.48 | $7.50 – $23.48 |