Pretreat rbc w enzyme reference at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$32.70
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.
$150.00
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.
$17.28 with Partnership Health Plan vs $337.77 with Prison Healthcare — 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 | $17.28 | ↓ -47% |
| United | Medicaid|< 21 | $24.79 | ↓ -24% |
| United | Medicaid|> 21 | $24.79 | ↓ -24% |
| Hill Physicians | Medicaid|All Plans | $27.27 | ↓ -17% |
| Molina | Medicaid|All Plans | $32.49 | ↓ -1% |
| Aetna | Commercial|PPO | $43.73 | ↑ +34% |
| Aetna | Commercial|HMO | $43.73 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $43.73 | ↑ +34% |
| BCBS - Anthem | Medicaid|All Plans | $47.10 | ↑ +44% |
| Cigna | Commercial|LocalPlus | $52.13 | ↑ +59% |
| Western Health Advantage | Commercial|All Plans | $52.50 | ↑ +61% |
| Health Net | Medicaid|All Plans | $57.51 | ↑ +76% |
| California Health & Wellness | Medicaid|All Plans | $57.51 | ↑ +76% |
| Kaiser | Medicaid|All Plans | $61.50 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $69.51 | ↑ +113% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $70.50 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $75.00 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $102.00 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $108.00 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $109.50 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $109.50 | ↑ +235% |
| First Health | Commercial|All Plans | $112.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $118.50 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $120.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $120.00 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $120.00 | ↑ +267% |
| BCBS - Anthem | Medicare|All Other Plans | $141.45 | ↑ +333% |
| United | Commercial|All Other Plans | $150.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $150.00 | ↑ +359% |
| Molina | Medicare|All Plans | $150.00 | ↑ +359% |
| Humana | Commercial|All Plans | $150.00 | ↑ +359% |
| United | Commercial|HMO | $150.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $150.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $150.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $150.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $150.00 | ↑ +359% |
| BCBS - Anthem | Medicare|Imperial | $154.50 | ↑ +372% |
| BrightHealth | Commercial|All Plans | $165.00 | ↑ +405% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +589% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +589% |
| United | Medicare|All Plans | $225.18 | ↑ +589% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +933% |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $43.20 | $17.28 – $150.00 |
| St. John's Camarillo Hospital | Camarillo | $134.47 | $37.50 – $435.46 |
| Banner Lassen Medical Center | Susanville | $110.72 | $28.51 – $155.20 |
| Petaluma Valley Hospital | Petaluma | $70.89 | $83.52 – $566.82 |
| Arroyo Grande Hospital | Santa Maria | $70.79 | $24.79 – $165.38 |
| Mark Twain Medical Center | San Andreas | $164.51 | $24.79 – $102.90 |
| French Hospital | San Luis Obispo | $64.83 | $24.79 – $165.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $130.60 | $24.28 – $150.00 |