Surgical pathology level 1 gross examination only at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$104.86
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.
$481.00
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.
$8.37 with Partnership Health Plan vs $384.80 with MultiPlan — 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 | $8.37 | ↓ -92% |
| United | Medicaid|< 21 | $12.01 | ↓ -89% |
| United | Medicaid|> 21 | $12.01 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $13.21 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $13.64 | ↓ -87% |
| Molina | Medicaid|All Plans | $15.74 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $16.49 | ↓ -84% |
| Cigna | Commercial|LocalPlus | $24.53 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $27.86 | ↓ -73% |
| Health Net | Medicaid|All Plans | $27.86 | ↓ -73% |
| United | Commercial|All Other Plans | $29.60 | ↓ -72% |
| United | Commercial|HMO | $29.60 | ↓ -72% |
| United | Commercial|Non-Options PPO | $29.60 | ↓ -72% |
| BCBS - Anthem | Medicare|All Other Plans | $30.35 | ↓ -71% |
| Molina | Medicare|All Plans | $32.18 | ↓ -69% |
| United | Medicare|All Plans | $32.18 | ↓ -69% |
| Aetna | Medicare|All Plans | $32.18 | ↓ -69% |
| Kaiser | Medicare|All Plans | $32.18 | ↓ -69% |
| Blue Shield CA | Medicare|HMO | $32.18 | ↓ -69% |
| Blue Shield CA | Medicare|PPO | $32.18 | ↓ -69% |
| Humana | Commercial|All Plans | $32.18 | ↓ -69% |
| Cigna | Commercial|All Other Plans | $32.71 | ↓ -69% |
| BCBS - Anthem | Medicare|Imperial | $33.15 | ↓ -68% |
| BCBS - Anthem | Medicaid|All Plans | $35.19 | ↓ -66% |
| BrightHealth | Commercial|All Plans | $35.40 | ↓ -66% |
| BCBS - Anthem | Commercial|Connection EPO | $40.16 | ↓ -62% |
| Prison Healthcare | Medicaid|All Plans | $48.27 | ↓ -54% |
| BCBS - Anthem | Commercial|All Other Plans | $50.18 | ↓ -52% |
| Aetna | Commercial|PPO | $62.28 | ↓ -41% |
| Aetna | Commercial|All Other Plans | $62.28 | ↓ -41% |
| Aetna | Commercial|HMO | $62.28 | ↓ -41% |
| BCBS - Anthem | Commercial|MCS | $72.75 | ↓ -31% |
| Western Health Advantage | Commercial|All Plans | $168.35 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $197.21 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $346.32 | ↑ +230% |
| First Health | Commercial|All Plans | $360.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $379.99 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $384.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $384.80 | ↑ +267% |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $138.53 | $8.37 – $399.23 |
| St. John's Camarillo Hospital | Camarillo | $127.46 | $18.17 – $226.98 |
| Petaluma Valley Hospital | Petaluma | $119.85 | $23.14 – $45.98 |
| Mark Twain Medical Center | San Andreas | $41.96 | $3.34 – $12.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $38.22 | $8.40 – $31.83 |
| Bakersfield Memorial Hospital | Bakersfield | $37.81 | $8.40 – $31.83 |
| Queen of The Valley Medical Center | Napa | $88.23 | $29.24 – $45.98 |
| Providence St Joseph Hospital Eureka | Eureka | $109.65 | $33.16 – $45.98 |