Plasmaprotein fract,5%,250ml at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$152.60
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.
$700.00
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.
$57.36 with Partnership Health Plan vs $23,178.00 with United — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $57.36 | ↓ -62% |
| Western Health Advantage | Commercial|All Plans | $59.15 | ↓ -61% |
| Hill Physicians | Medicaid|All Plans | $63.10 | ↓ -59% |
| Kaiser | Medicaid|All Plans | $69.29 | ↓ -55% |
| BCBS - Anthem | Medicare|All Other Plans | $91.36 | ↓ -40% |
| Humana | Commercial|All Plans | $96.88 | ↓ -37% |
| Aetna | Medicare|All Plans | $96.88 | ↓ -37% |
| Molina | Medicare|All Plans | $96.88 | ↓ -37% |
| United | Medicare|All Plans | $96.88 | ↓ -37% |
| Kaiser | Medicare|All Plans | $96.88 | ↓ -37% |
| Blue Shield CA | Medicare|HMO | $96.88 | ↓ -37% |
| Blue Shield CA | Medicare|PPO | $96.88 | ↓ -37% |
| BCBS - Anthem | Medicare|Imperial | $99.79 | ↓ -35% |
| BCBS - Anthem | Commercial|Connection EPO | $106.47 | ↓ -30% |
| BrightHealth | Commercial|All Plans | $106.57 | ↓ -30% |
| Molina | Medicaid|All Plans | $107.84 | ↓ -29% |
| BCBS - Anthem | Medicaid|All Plans | $108.98 | ↓ -29% |
| Healthsmart | Commercial|All Plans | $121.68 | ↓ -20% |
| Cigna | Commercial|LocalPlus | $125.49 | ↓ -18% |
| First Health | Commercial|All Plans | $126.75 | ↓ -17% |
| Aetna | Commercial|All Other Plans | $130.75 | ↓ -14% |
| Aetna | Commercial|HMO | $130.75 | ↓ -14% |
| Aetna | Commercial|PPO | $130.75 | ↓ -14% |
| California Health & Wellness | Medicaid|All Plans | $133.08 | ↓ -13% |
| Health Net | Medicaid|All Plans | $133.08 | ↓ -13% |
| Kaiser | Commercial|All Plans | $133.51 | ↓ -13% |
| BCBS - Anthem | Commercial|All Other Plans | $133.51 | ↓ -13% |
| MultiPlan | Commercial|All Plans | $135.20 | ↓ -11% |
| Sutter Health | Commercial|All Plans | $135.20 | ↓ -11% |
| Prison Healthcare | Medicaid|All Plans | $145.32 | ↓ -5% |
| Cigna | Commercial|All Other Plans | $167.35 | ↑ +10% |
| BCBS - Anthem | Commercial|MCS | $169.00 | ↑ +11% |
| United | Commercial|Non-Options PPO | $169.00 | ↑ +11% |
| United | Commercial|HMO | $11,514.00 | ↑ +7445% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +15089% |
Visitor-reported prices
Comments
Plasmaprotein fract,5%,250ml at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy San Juan Medical Center | Carmichael | $191.80 | $18.59 – $140.27 |
| Mercy Hospital of Folsom | Folsom | $272.30 | $18.59 – $138.58 |
| St. Elizabeth Community Hospital | Red Bluff | $141.92 | $57.36 – $238.14 |
| Petaluma Valley Hospital | Petaluma | not published | $34.61 – $70.38 |
| Queen of The Valley Medical Center | Napa | not published | $35.32 – $76.19 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $35.32 – $90.88 |
| Healdsburg Hospital | Healdsburg | not published | $35.32 – $179.46 |
| Redwood Memorial Hospital | Fortuna | not published | $91.10 – $91.10 |