Romiplostim 125 mcg subcutaneous solution at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,620.58
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.
$12,021.00
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.
$3,005.25 with Western Health Advantage vs $12,021.00 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $3,005.25 | ↑ +15% |
| Kaiser | Medicaid|All Plans | $4,928.61 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $8,655.12 | ↑ +230% |
| Healthsmart | Commercial|All Plans | $8,655.12 | ↑ +230% |
| First Health | Commercial|All Plans | $9,015.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $9,496.59 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $9,616.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $9,616.80 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $10,818.90 | ↑ +313% |
| United | Commercial|Non-Options PPO | $12,021.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $12,021.00 | ↑ +359% |
Visitor-reported prices
Comments
Romiplostim 125 mcg subcutaneous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,791.68 | $5.22 – $991.80 |
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $6,761.70 – $14,725.48 |
| French Hospital | San Luis Obispo | $14,700.00 | $4,057.02 – $14,725.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,437.54 | $100.00 – $9,568.80 |
| Bakersfield Memorial Hospital | Bakersfield | $8,779.01 | $100.00 – $5,921.19 |
| Queen of The Valley Medical Center | Napa | $11,915.25 | $11.11 – $22.62 |
| Providence St Joseph Hospital Eureka | Eureka | $11,915.25 | $11.11 – $22.62 |
| St. Joseph's Medical Center Stockton | Stockton | $5,742.71 | $100.00 – $4,102.56 |