Sargramostim injection at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$386.95
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.
$1,775.00
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.
$48.83 with Hill Physicians vs $699.47 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 |
|---|---|---|---|
| Hill Physicians | Medicare|All Plans | $48.83 | ↓ -87% |
| Health Net | Commercial|EPPO | $53.30 | ↓ -86% |
| Western Health Advantage | Commercial|All Plans | $56.67 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $63.48 | ↓ -84% |
| Partnership Health Plan | Medicaid|All Plans | $64.34 | ↓ -83% |
| BCBS - Anthem | Medicare|All Other Plans | $69.51 | ↓ -82% |
| Hill Physicians | Medicaid|All Plans | $70.77 | ↓ -82% |
| Humana | Commercial|All Plans | $73.71 | ↓ -81% |
| Aetna | Medicare|All Plans | $73.71 | ↓ -81% |
| Molina | Medicare|All Plans | $73.71 | ↓ -81% |
| United | Medicare|All Plans | $73.71 | ↓ -81% |
| Kaiser | Medicare|All Plans | $73.71 | ↓ -81% |
| Blue Shield CA | Medicare|HMO | $73.71 | ↓ -81% |
| Blue Shield CA | Medicare|PPO | $73.71 | ↓ -81% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $74.03 | ↓ -81% |
| Blue Shield CA | Commercial|Exchange | $74.03 | ↓ -81% |
| Blue Shield CA | Commercial|All Other Plans | $74.03 | ↓ -81% |
| Blue Shield CA | Commercial|CalPers | $74.03 | ↓ -81% |
| Blue Shield CA | Commercial|HMO | $74.03 | ↓ -81% |
| BCBS - Anthem | Medicare|Imperial | $75.92 | ↓ -80% |
| BrightHealth | Commercial|All Plans | $81.08 | ↓ -79% |
| United | Commercial|Non-Options PPO | $88.37 | ↓ -77% |
| United | Commercial|HMO | $99.03 | ↓ -74% |
| United | Commercial|All Other Plans | $99.03 | ↓ -74% |
| Health Net | Commercial|FFS | $99.20 | ↓ -74% |
| Prison Healthcare | Medicaid|All Plans | $110.56 | ↓ -71% |
| BCBS - Anthem | Medicaid|All Plans | $119.17 | ↓ -69% |
| Molina | Medicaid|All Plans | $120.96 | ↓ -69% |
| Aetna | Commercial|PPO | $123.35 | ↓ -68% |
| Aetna | Commercial|HMO | $123.35 | ↓ -68% |
| Aetna | Commercial|All Other Plans | $123.35 | ↓ -68% |
| Cigna | Commercial|LocalPlus | $139.28 | ↓ -64% |
| Health Net | Medicaid|All Plans | $149.27 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $149.27 | ↓ -61% |
| Cigna | Commercial|All Other Plans | $185.75 | ↓ -52% |
| Kaiser | Medicaid|All Plans | $336.20 | ↓ -13% |
| BCBS - Anthem | Commercial|Connection EPO | $385.68 | ↓ -0% |
| BCBS - Anthem | Commercial|All Other Plans | $482.11 | ↑ +25% |
| Healthsmart | Commercial|All Plans | $590.40 | ↑ +53% |
| First Health | Commercial|All Plans | $615.00 | ↑ +59% |
| Kaiser | Commercial|All Plans | $647.80 | ↑ +67% |
| Sutter Health | Commercial|All Plans | $656.00 | ↑ +70% |
| MultiPlan | Commercial|All Plans | $656.00 | ↑ +70% |
| BCBS - Anthem | Commercial|MCS | $699.47 | ↑ +81% |
Visitor-reported prices
Comments
Sargramostim injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $552.52 | $56.00 – $56.00 |
| South Sacramento Medical Center | SACRAMENTO | $552.52 | $56.00 – $56.00 |
| Fresno Medical Center | FRESNO | $552.52 | $56.00 – $56.00 |
| Antioch Medical Center | ANTIOCH | $552.52 | $56.00 – $56.00 |
| Redwood City Medical Center | Redwood City | $552.52 | $56.00 – $56.00 |
| Santa Clara Medical Center | SANTA CLARA | $552.52 | $56.00 – $56.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $513.05 | $56.00 – $56.00 |
| Riverside Medical Center | RIVERSIDE | $513.05 | $56.00 – $56.00 |