Reticulocyte automated at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$35.97
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.
$165.00
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.
$3.55 with Partnership Health Plan vs $132.00 with Sutter Health — 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 | $3.55 | ↓ -90% |
| BCBS - Anthem | Medicare|All Other Plans | $3.76 | ↓ -90% |
| Hill Physicians | Commercial|All Plans | $3.99 | ↓ -89% |
| Aetna | Medicare|All Plans | $3.99 | ↓ -89% |
| United | Medicare|All Plans | $3.99 | ↓ -89% |
| Hill Physicians | Medicare|All Plans | $3.99 | ↓ -89% |
| Molina | Medicare|All Plans | $3.99 | ↓ -89% |
| Blue Shield CA | Medicare|PPO | $3.99 | ↓ -89% |
| Humana | Commercial|All Plans | $3.99 | ↓ -89% |
| Blue Shield CA | Medicare|HMO | $3.99 | ↓ -89% |
| Kaiser | Medicare|All Plans | $3.99 | ↓ -89% |
| BCBS - Anthem | Medicare|Imperial | $4.11 | ↓ -89% |
| BrightHealth | Commercial|All Plans | $4.39 | ↓ -88% |
| United | Commercial|Non-Options PPO | $4.79 | ↓ -87% |
| United | Commercial|All Other Plans | $4.79 | ↓ -87% |
| United | Commercial|HMO | $4.79 | ↓ -87% |
| United | Medicaid|< 21 | $5.09 | ↓ -86% |
| United | Medicaid|> 21 | $5.09 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $5.60 | ↓ -84% |
| Prison Healthcare | Medicaid|All Plans | $5.99 | ↓ -83% |
| Molina | Medicaid|All Plans | $6.67 | ↓ -81% |
| Cigna | Commercial|LocalPlus | $8.82 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $9.33 | ↓ -74% |
| Cigna | Commercial|All Other Plans | $11.77 | ↓ -67% |
| Health Net | Medicaid|All Plans | $11.81 | ↓ -67% |
| California Health & Wellness | Medicaid|All Plans | $11.81 | ↓ -67% |
| Aetna | Commercial|All Other Plans | $14.61 | ↓ -59% |
| Aetna | Commercial|PPO | $14.61 | ↓ -59% |
| Aetna | Commercial|HMO | $14.61 | ↓ -59% |
| BCBS - Anthem | Commercial|Connection EPO | $56.67 | ↑ +58% |
| Western Health Advantage | Commercial|All Plans | $57.75 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $67.65 | ↑ +88% |
| BCBS - Anthem | Commercial|All Other Plans | $70.80 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $77.55 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $82.50 | ↑ +129% |
| BCBS - Anthem | Commercial|MCS | $102.64 | ↑ +185% |
| Blue Shield CA | Commercial|HMO | $112.20 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $118.80 | ↑ +230% |
| Blue Shield CA | Commercial|All Other Plans | $120.45 | ↑ +235% |
| Blue Shield CA | Commercial|CalPers | $120.45 | ↑ +235% |
| First Health | Commercial|All Plans | $123.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $130.35 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $132.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $132.00 | ↑ +267% |
Visitor-reported prices
Comments
Reticulocyte automated at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $47.52 | $3.55 – $136.95 |
| St. John's Camarillo Hospital | Camarillo | $114.76 | $3.99 – $12.45 |
| Petaluma Valley Hospital | Petaluma | $93.84 | $3.91 – $32.64 |
| Arroyo Grande Hospital | Santa Maria | $132.26 | $3.99 – $14.70 |
| Mark Twain Medical Center | San Andreas | $60.61 | $3.99 – $89.18 |
| French Hospital | San Luis Obispo | $121.13 | $3.99 – $14.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $120.58 | $3.99 – $72.80 |
| Bakersfield Memorial Hospital | Bakersfield | $119.28 | $3.99 – $71.89 |