Mayo cyanide at Mercy General Hospital

4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$18.53

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$85.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.24 with Partnership Health Plan vs $85.00 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 →

Payer
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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
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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
Partnership Health Plan Medicaid|All Plans $17.24 ↓ -7%
BCBS - Anthem Medicare|All Other Plans $18.29 ↓ -1%
Hill Physicians Medicare|All Plans $19.40 ↑ +5%
Aetna Medicare|All Plans $19.40 ↑ +5%
Hill Physicians Commercial|All Plans $19.40 ↑ +5%
Kaiser Medicare|All Plans $19.40 ↑ +5%
Humana Commercial|All Plans $19.40 ↑ +5%
Molina Medicare|All Plans $19.40 ↑ +5%
United Medicare|All Plans $19.40 ↑ +5%
Blue Shield CA Medicare|PPO $19.40 ↑ +5%
Blue Shield CA Medicare|HMO $19.40 ↑ +5%
BCBS - Anthem Medicare|Imperial $19.98 ↑ +8%
BrightHealth Commercial|All Plans $21.34 ↑ +15%
United Commercial|Non-Options PPO $23.28 ↑ +26%
United Commercial|HMO $23.28 ↑ +26%
United Commercial|All Other Plans $23.28 ↑ +26%
United Medicaid|> 21 $24.73 ↑ +33%
United Medicaid|< 21 $24.73 ↑ +33%
Hill Physicians Medicaid|All Plans $27.20 ↑ +47%
Prison Healthcare Medicaid|All Plans $29.10 ↑ +57%
Western Health Advantage Commercial|All Plans $29.75 ↑ +61%
Molina Medicaid|All Plans $32.41 ↑ +75%
Kaiser Medicaid|All Plans $34.85 ↑ +88%
Blue Shield CA Commercial|ACO Trio CalPers $39.95 ↑ +116%
Blue Shield CA Commercial|Exchange $42.50 ↑ +129%
Cigna Commercial|LocalPlus $42.96 ↑ +132%
BCBS - Anthem Medicaid|All Plans $49.74 ↑ +168%
Cigna Commercial|All Other Plans $57.29 ↑ +209%
Health Net Medicaid|All Plans $57.37 ↑ +210%
California Health & Wellness Medicaid|All Plans $57.37 ↑ +210%
Blue Shield CA Commercial|HMO $57.80 ↑ +212%
Healthsmart Commercial|All Plans $61.20 ↑ +230%
Blue Shield CA Commercial|CalPers $62.05 ↑ +235%
Blue Shield CA Commercial|All Other Plans $62.05 ↑ +235%
First Health Commercial|All Plans $63.75 ↑ +244%
Kaiser Commercial|All Plans $67.15 ↑ +262%
BCBS - Anthem Commercial|Connection EPO $68.00 ↑ +267%
MultiPlan Commercial|All Plans $68.00 ↑ +267%
Sutter Health Commercial|All Plans $68.00 ↑ +267%
Aetna Commercial|All Other Plans $70.88 ↑ +283%
Aetna Commercial|HMO $70.88 ↑ +283%
Aetna Commercial|PPO $70.88 ↑ +283%
BCBS - Anthem Commercial|All Other Plans $85.00 ↑ +359%
BCBS - Anthem Commercial|MCS $85.00 ↑ +359%

Visitor-reported prices

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Mayo cyanide at other California hospitals

Hospital City Cash price Negotiated range
Methodist Hospital of Sacramento Sacramento $24.48 $17.24 – $70.55
St. John's Camarillo Hospital Camarillo $37.23 $19.40 – $66.30
Banner Lassen Medical Center Susanville $17.53 $3.88 – $28.45
Arroyo Grande Hospital Santa Maria $36.38 $19.40 – $83.30
Mark Twain Medical Center San Andreas $56.61 $19.40 – $83.30
French Hospital San Luis Obispo $33.32 $19.40 – $83.30
Mercy Hospitals – Bakersfield Bakersfield $31.54 $19.40 – $68.00
Bakersfield Memorial Hospital Bakersfield $31.20 $19.40 – $67.15

All California hospitals for this procedure →