Pyruvate kinase at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$7.63
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.
?
What you pay up front if you don't use insurance.
$35.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.39 with Partnership Health Plan vs $35.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $8.39 | ↑ +10% |
| BCBS - Anthem | Medicare|All Other Plans | $8.90 | ↑ +17% |
| Hill Physicians | Medicare|All Plans | $9.44 | ↑ +24% |
| Hill Physicians | Commercial|All Plans | $9.44 | ↑ +24% |
| Aetna | Medicare|All Plans | $9.44 | ↑ +24% |
| Blue Shield CA | Medicare|PPO | $9.44 | ↑ +24% |
| Blue Shield CA | Medicare|HMO | $9.44 | ↑ +24% |
| Kaiser | Medicare|All Plans | $9.44 | ↑ +24% |
| Molina | Medicare|All Plans | $9.44 | ↑ +24% |
| Humana | Commercial|All Plans | $9.44 | ↑ +24% |
| United | Medicare|All Plans | $9.44 | ↑ +24% |
| BCBS - Anthem | Medicare|Imperial | $9.72 | ↑ +27% |
| BrightHealth | Commercial|All Plans | $10.38 | ↑ +36% |
| United | Commercial|All Other Plans | $11.33 | ↑ +48% |
| United | Commercial|Non-Options PPO | $11.33 | ↑ +48% |
| United | Commercial|HMO | $11.33 | ↑ +48% |
| United | Medicaid|< 21 | $12.03 | ↑ +58% |
| United | Medicaid|> 21 | $12.03 | ↑ +58% |
| Western Health Advantage | Commercial|All Plans | $12.25 | ↑ +61% |
| Hill Physicians | Medicaid|All Plans | $13.23 | ↑ +73% |
| Prison Healthcare | Medicaid|All Plans | $14.16 | ↑ +86% |
| Kaiser | Medicaid|All Plans | $14.35 | ↑ +88% |
| Molina | Medicaid|All Plans | $15.77 | ↑ +107% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $16.45 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $17.50 | ↑ +129% |
| Cigna | Commercial|LocalPlus | $20.92 | ↑ +174% |
| BCBS - Anthem | Medicaid|All Plans | $21.66 | ↑ +184% |
| Blue Shield CA | Commercial|HMO | $23.80 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $25.20 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $25.55 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $25.55 | ↑ +235% |
| First Health | Commercial|All Plans | $26.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $27.65 | ↑ +262% |
| Cigna | Commercial|All Other Plans | $27.89 | ↑ +266% |
| California Health & Wellness | Medicaid|All Plans | $27.91 | ↑ +266% |
| Health Net | Medicaid|All Plans | $27.91 | ↑ +266% |
| MultiPlan | Commercial|All Plans | $28.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $28.00 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $28.00 | ↑ +267% |
| Aetna | Commercial|All Other Plans | $34.47 | ↑ +352% |
| Aetna | Commercial|HMO | $34.47 | ↑ +352% |
| Aetna | Commercial|PPO | $34.47 | ↑ +352% |
| BCBS - Anthem | Commercial|All Other Plans | $35.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $35.00 | ↑ +359% |
Visitor-reported prices
Comments
Pyruvate kinase at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $10.08 | $8.39 – $29.05 |
| Banner Lassen Medical Center | Susanville | $85.76 | $1.89 – $132.89 |
| Arroyo Grande Hospital | Santa Maria | $14.98 | $9.44 – $34.30 |
| Mark Twain Medical Center | San Andreas | $23.31 | $9.44 – $34.30 |
| French Hospital | San Luis Obispo | $13.72 | $9.44 – $34.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12.99 | $9.44 – $28.99 |
| Bakersfield Memorial Hospital | Bakersfield | $12.85 | $9.44 – $27.65 |
| St. Joseph's Behavioral Health Center | Stockton | $19.99 | $3.50 – $28.00 |