Puncture arterial withdrawal blood for diagnosis at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$97.01
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.
$445.00
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.
$14.53 with United vs $7,150.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $14.53 | ↓ -85% |
| United | Medicaid|> 21 | $14.53 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $14.80 | ↓ -85% |
| Molina | Medicaid|All Plans | $23.80 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $25.18 | ↓ -74% |
| Hill Physicians | Medicare|All Plans | $31.60 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $34.50 | ↓ -64% |
| California Health & Wellness | Medicaid|All Plans | $53.10 | ↓ -45% |
| Health Net | Medicaid|All Plans | $53.10 | ↓ -45% |
| Partnership Health Plan | Medicaid|All Plans | $78.09 | ↓ -20% |
| Western Health Advantage | Commercial|All Plans | $146.30 | ↑ +51% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↑ +65% |
| Humana | Commercial|All Plans | $169.39 | ↑ +75% |
| Aetna | Medicare|All Plans | $169.39 | ↑ +75% |
| Molina | Medicare|All Plans | $169.39 | ↑ +75% |
| United | Medicare|All Plans | $169.39 | ↑ +75% |
| Kaiser | Medicare|All Plans | $169.39 | ↑ +75% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↑ +75% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↑ +75% |
| Kaiser | Medicaid|All Plans | $171.38 | ↑ +77% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↑ +80% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +92% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +162% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $280.35 | ↑ +189% |
| Blue Shield CA | Commercial|Exchange | $289.25 | ↑ +198% |
| Cigna | Commercial|LocalPlus | $293.70 | ↑ +203% |
| Healthsmart | Commercial|All Plans | $300.96 | ↑ +210% |
| First Health | Commercial|All Plans | $313.50 | ↑ +223% |
| Kaiser | Commercial|All Plans | $330.22 | ↑ +240% |
| MultiPlan | Commercial|All Plans | $334.40 | ↑ +245% |
| Sutter Health | Commercial|All Plans | $334.40 | ↑ +245% |
| Aetna | Commercial|HMO | $382.70 | ↑ +294% |
| Aetna | Commercial|PPO | $382.70 | ↑ +294% |
| Aetna | Commercial|All Other Plans | $382.70 | ↑ +294% |
| Cigna | Commercial|All Other Plans | $391.60 | ↑ +304% |
| Blue Shield CA | Commercial|HMO | $400.50 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $400.50 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $404.95 | ↑ +317% |
| United | Commercial|Non-Options PPO | $418.00 | ↑ +331% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +2798% |
| United | Commercial|HMO | $2,842.00 | ↑ +2830% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +3643% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +4579% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +5243% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +6685% |
| United | Commercial|All Other Plans | $7,150.00 | ↑ +7270% |
Visitor-reported prices
Comments
Puncture arterial withdrawal blood for diagnosis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $128.16 | $14.53 – $346.94 |
| St. John's Camarillo Hospital | Camarillo | $212.43 | $17.87 – $365.72 |
| Banner Lassen Medical Center | Susanville | $48.44 | $20.89 – $67.90 |
| Petaluma Valley Hospital | Petaluma | $456.96 | $179.30 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $219.14 | $14.53 – $699.00 |
| Mark Twain Medical Center | San Andreas | $161.84 | $14.53 – $154.84 |
| French Hospital | San Luis Obispo | $200.71 | $14.53 – $501.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $119.47 | $14.53 – $264.04 |