#resp virpnl dfa-parainfluenza at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$22.68
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.
$104.00
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.
$10.10 with Partnership Health Plan vs $104.00 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 | $10.10 | ↓ -55% |
| United | Medicaid|> 21 | $10.10 | ↓ -55% |
| United | Medicaid|< 21 | $10.10 | ↓ -55% |
| Hill Physicians | Medicaid|All Plans | $11.11 | ↓ -51% |
| BCBS - Anthem | Medicare|All Other Plans | $15.49 | ↓ -32% |
| Blue Shield CA | Medicare|HMO | $16.43 | ↓ -28% |
| Humana | Commercial|All Plans | $16.43 | ↓ -28% |
| Aetna | Medicare|All Plans | $16.43 | ↓ -28% |
| Hill Physicians | Medicare|All Plans | $16.43 | ↓ -28% |
| Molina | Medicare|All Plans | $16.43 | ↓ -28% |
| United | Medicare|All Plans | $16.43 | ↓ -28% |
| Hill Physicians | Commercial|All Plans | $16.43 | ↓ -28% |
| Kaiser | Medicare|All Plans | $16.43 | ↓ -28% |
| Blue Shield CA | Medicare|PPO | $16.43 | ↓ -28% |
| BCBS - Anthem | Medicare|Imperial | $16.92 | ↓ -25% |
| BrightHealth | Commercial|All Plans | $18.07 | ↓ -20% |
| Molina | Medicaid|All Plans | $18.99 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $19.19 | ↓ -15% |
| United | Commercial|Non-Options PPO | $19.72 | ↓ -13% |
| United | Commercial|HMO | $19.72 | ↓ -13% |
| United | Commercial|All Other Plans | $19.72 | ↓ -13% |
| California Health & Wellness | Medicaid|All Plans | $23.43 | ↑ +3% |
| Health Net | Medicaid|All Plans | $23.43 | ↑ +3% |
| Prison Healthcare | Medicaid|All Plans | $24.64 | ↑ +9% |
| Aetna | Commercial|HMO | $33.94 | ↑ +50% |
| Aetna | Commercial|PPO | $33.94 | ↑ +50% |
| Aetna | Commercial|All Other Plans | $33.94 | ↑ +50% |
| Cigna | Commercial|LocalPlus | $36.39 | ↑ +60% |
| Western Health Advantage | Commercial|All Plans | $36.40 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $42.64 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $48.52 | ↑ +114% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $48.88 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $52.00 | ↑ +129% |
| Blue Shield CA | Commercial|HMO | $70.72 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $74.88 | ↑ +230% |
| Blue Shield CA | Commercial|All Other Plans | $75.92 | ↑ +235% |
| Blue Shield CA | Commercial|CalPers | $75.92 | ↑ +235% |
| First Health | Commercial|All Plans | $78.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $82.16 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $83.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $83.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $83.20 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $104.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $104.00 | ↑ +359% |
Visitor-reported prices
Comments
#resp virpnl dfa-parainfluenza at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $29.96 | $10.10 – $86.32 |
| Petaluma Valley Hospital | Petaluma | $7.65 | $16.10 – $75.79 |
| Arroyo Grande Hospital | Santa Maria | $4.33 | $4.27 – $42.34 |
| French Hospital | San Luis Obispo | $3.96 | $2.31 – $49.77 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3.17 | $4.27 – $47.22 |
| Bakersfield Memorial Hospital | Bakersfield | $3.14 | $4.27 – $47.22 |
| Queen of The Valley Medical Center | Napa | $7.65 | $16.43 – $95.77 |
| Providence St Joseph Hospital Eureka | Eureka | $7.65 | $16.43 – $108.61 |