Platelet aggregation each agent teg at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$117.72
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.
$540.00
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.
$11.90 with Partnership Health Plan vs $182.16 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $11.90 | ↓ -90% |
| United | Medicaid|> 21 | $17.07 | ↓ -85% |
| United | Medicaid|< 21 | $17.07 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $18.78 | ↓ -84% |
| Molina | Medicaid|All Plans | $22.37 | ↓ -81% |
| BCBS - Anthem | Medicare|All Other Plans | $23.49 | ↓ -80% |
| Blue Shield CA | Medicare|HMO | $24.91 | ↓ -79% |
| Hill Physicians | Medicare|All Plans | $24.91 | ↓ -79% |
| Kaiser | Medicare|All Plans | $24.91 | ↓ -79% |
| United | Medicare|All Plans | $24.91 | ↓ -79% |
| Blue Shield CA | Medicare|PPO | $24.91 | ↓ -79% |
| Humana | Commercial|All Plans | $24.91 | ↓ -79% |
| Molina | Medicare|All Plans | $24.91 | ↓ -79% |
| Aetna | Medicare|All Plans | $24.91 | ↓ -79% |
| Hill Physicians | Commercial|All Plans | $24.91 | ↓ -79% |
| BCBS - Anthem | Medicare|Imperial | $25.66 | ↓ -78% |
| BrightHealth | Commercial|All Plans | $27.40 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $28.88 | ↓ -75% |
| United | Commercial|All Other Plans | $29.89 | ↓ -75% |
| United | Commercial|Non-Options PPO | $29.89 | ↓ -75% |
| United | Commercial|HMO | $29.89 | ↓ -75% |
| Prison Healthcare | Medicaid|All Plans | $37.37 | ↓ -68% |
| California Health & Wellness | Medicaid|All Plans | $39.60 | ↓ -66% |
| Health Net | Medicaid|All Plans | $39.60 | ↓ -66% |
| Cigna | Commercial|LocalPlus | $55.16 | ↓ -53% |
| Western Health Advantage | Commercial|All Plans | $63.76 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $73.55 | ↓ -38% |
| Kaiser | Medicaid|All Plans | $74.69 | ↓ -37% |
| Aetna | Commercial|All Other Plans | $78.48 | ↓ -33% |
| Aetna | Commercial|PPO | $78.48 | ↓ -33% |
| Aetna | Commercial|HMO | $78.48 | ↓ -33% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $85.62 | ↓ -27% |
| Blue Shield CA | Commercial|Exchange | $91.08 | ↓ -23% |
| Blue Shield CA | Commercial|HMO | $123.87 | ↑ +5% |
| Healthsmart | Commercial|All Plans | $131.16 | ↑ +11% |
| Blue Shield CA | Commercial|CalPers | $132.98 | ↑ +13% |
| Blue Shield CA | Commercial|All Other Plans | $132.98 | ↑ +13% |
| First Health | Commercial|All Plans | $136.62 | ↑ +16% |
| Kaiser | Commercial|All Plans | $143.91 | ↑ +22% |
| BCBS - Anthem | Commercial|Connection EPO | $145.73 | ↑ +24% |
| Sutter Health | Commercial|All Plans | $145.73 | ↑ +24% |
| MultiPlan | Commercial|All Plans | $145.73 | ↑ +24% |
| BCBS - Anthem | Commercial|All Other Plans | $182.16 | ↑ +55% |
| BCBS - Anthem | Commercial|MCS | $182.16 | ↑ +55% |
Visitor-reported prices
Comments
Platelet aggregation each agent teg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $155.52 | $11.90 – $151.20 |
| St. John's Camarillo Hospital | Camarillo | $121.77 | $24.91 – $77.72 |
| Arroyo Grande Hospital | Santa Maria | $130.54 | $17.07 – $72.52 |
| Mark Twain Medical Center | San Andreas | $71.27 | $17.07 – $104.86 |
| French Hospital | San Luis Obispo | $119.56 | $17.07 – $75.45 |
| Mercy Hospitals – Bakersfield | Bakersfield | $67.53 | $16.72 – $107.25 |
| Bakersfield Memorial Hospital | Bakersfield | $66.80 | $16.72 – $115.70 |
| Queen of The Valley Medical Center | Napa | $141.27 | $24.91 – $188.28 |