Strep b dna amp probe at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$42.51
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.
$195.00
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.
$30.52 with Partnership Health Plan vs $195.00 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 | $30.52 | ↓ -28% |
| United | Medicaid|> 21 | $30.52 | ↓ -28% |
| United | Medicaid|< 21 | $30.52 | ↓ -28% |
| BCBS - Anthem | Medicare|All Other Plans | $33.09 | ↓ -22% |
| Hill Physicians | Medicaid|All Plans | $33.57 | ↓ -21% |
| Molina | Medicare|All Plans | $35.09 | ↓ -17% |
| United | Medicare|All Plans | $35.09 | ↓ -17% |
| Kaiser | Medicare|All Plans | $35.09 | ↓ -17% |
| Humana | Commercial|All Plans | $35.09 | ↓ -17% |
| Hill Physicians | Medicare|All Plans | $35.09 | ↓ -17% |
| Aetna | Medicare|All Plans | $35.09 | ↓ -17% |
| Hill Physicians | Commercial|All Plans | $35.09 | ↓ -17% |
| Blue Shield CA | Medicare|PPO | $35.09 | ↓ -17% |
| Blue Shield CA | Medicare|HMO | $35.09 | ↓ -17% |
| BCBS - Anthem | Medicare|Imperial | $36.14 | ↓ -15% |
| BrightHealth | Commercial|All Plans | $38.60 | ↓ -9% |
| United | Commercial|All Other Plans | $42.11 | ↓ -1% |
| United | Commercial|HMO | $42.11 | ↓ -1% |
| United | Commercial|Non-Options PPO | $42.11 | ↓ -1% |
| Prison Healthcare | Medicaid|All Plans | $52.64 | ↑ +24% |
| Molina | Medicaid|All Plans | $57.38 | ↑ +35% |
| BCBS - Anthem | Medicaid|All Plans | $57.99 | ↑ +36% |
| Western Health Advantage | Commercial|All Plans | $68.25 | ↑ +61% |
| California Health & Wellness | Medicaid|All Plans | $70.81 | ↑ +67% |
| Health Net | Medicaid|All Plans | $70.81 | ↑ +67% |
| Cigna | Commercial|LocalPlus | $77.71 | ↑ +83% |
| Kaiser | Medicaid|All Plans | $79.95 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $91.65 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $97.50 | ↑ +129% |
| Cigna | Commercial|All Other Plans | $103.63 | ↑ +144% |
| Aetna | Commercial|PPO | $128.22 | ↑ +202% |
| Aetna | Commercial|All Other Plans | $128.22 | ↑ +202% |
| Aetna | Commercial|HMO | $128.22 | ↑ +202% |
| Blue Shield CA | Commercial|HMO | $132.60 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $140.40 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $142.35 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $142.35 | ↑ +235% |
| First Health | Commercial|All Plans | $146.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $154.05 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $156.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $156.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $156.00 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $195.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $195.00 | ↑ +359% |
Visitor-reported prices
Comments
Strep b dna amp probe at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $56.16 | $30.52 – $161.85 |
| Arroyo Grande Hospital | Santa Maria | $144.67 | $24.68 – $119.56 |
| Mark Twain Medical Center | San Andreas | $58.43 | $30.52 – $85.98 |
| French Hospital | San Luis Obispo | $132.50 | $24.68 – $131.32 |
| Mercy Hospitals – Bakersfield | Bakersfield | $50.46 | $17.50 – $100.84 |
| Bakersfield Memorial Hospital | Bakersfield | $49.92 | $17.50 – $100.84 |
| St. Joseph's Behavioral Health Center | Stockton | $78.80 | $4.00 – $32.00 |
| St. Joseph's Medical Center Stockton | Stockton | $59.69 | $7.35 – $35.00 |