Oprelvekin injection at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$266.84
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.
$1,224.00
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.
$380.82 with Health Net vs $1,324.31 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 |
|---|---|---|---|
| Health Net | Commercial|EPPO | $380.82 | ↑ +43% |
| United | Commercial|All Other Plans | $394.94 | ↑ +48% |
| United | Commercial|HMO | $394.94 | ↑ +48% |
| United | Commercial|Non-Options PPO | $422.55 | ↑ +58% |
| Western Health Advantage | Commercial|All Plans | $476.03 | ↑ +78% |
| Kaiser | Medicaid|All Plans | $501.84 | ↑ +88% |
| Blue Shield CA | Commercial|Exchange | $528.92 | ↑ +98% |
| Blue Shield CA | Commercial|HMO | $528.92 | ↑ +98% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $528.92 | ↑ +98% |
| Blue Shield CA | Commercial|CalPers | $528.92 | ↑ +98% |
| Blue Shield CA | Commercial|All Other Plans | $528.92 | ↑ +98% |
| BCBS - Anthem | Commercial|Connection EPO | $681.17 | ↑ +155% |
| Health Net | Commercial|FFS | $708.75 | ↑ +166% |
| BCBS - Anthem | Commercial|All Other Plans | $851.47 | ↑ +219% |
| Healthsmart | Commercial|All Plans | $881.28 | ↑ +230% |
| First Health | Commercial|All Plans | $918.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $966.96 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $979.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $979.20 | ↑ +267% |
| Cigna | Commercial|LocalPlus | $993.02 | ↑ +272% |
| Aetna | Commercial|HMO | $1,089.58 | ↑ +308% |
| Aetna | Commercial|PPO | $1,089.58 | ↑ +308% |
| Aetna | Commercial|All Other Plans | $1,089.58 | ↑ +308% |
| BCBS - Anthem | Commercial|MCS | $1,224.00 | ↑ +359% |
| Cigna | Commercial|All Other Plans | $1,324.31 | ↑ +396% |
Visitor-reported prices
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Oprelvekin injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $352.52 | $394.94 – $1,129.24 |
| Bakersfield Memorial Hospital | Bakersfield | $447.01 | $304.50 – $1,218.00 |
| Mercy Medical Center Merced | Merced | $614.91 | $1.76 – $1,194.00 |
| Mercy San Juan Medical Center | Carmichael | $335.38 | $134.64 – $1,135.06 |
| Mercy Hospital of Folsom | Folsom | $476.14 | $134.64 – $1,143.53 |
| Petaluma Valley Hospital | Petaluma | not published | $299.65 – $514.62 |
| Queen of The Valley Medical Center | Napa | not published | $324.35 – $514.62 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $386.90 – $514.62 |