Surgical pathology level 6 gross & microscopic examination at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$854.35
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.
$3,919.00
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.
$185.47 with Partnership Health Plan vs $3,135.20 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 | $185.47 | ↓ -78% |
| United | Medicaid|> 21 | $266.04 | ↓ -69% |
| United | Medicaid|< 21 | $266.04 | ↓ -69% |
| Hill Physicians | Medicaid|All Plans | $292.64 | ↓ -66% |
| Hill Physicians | Commercial|All Plans | $323.05 | ↓ -62% |
| Molina | Medicaid|All Plans | $348.68 | ↓ -59% |
| BCBS - Anthem | Commercial|Connection EPO | $387.71 | ↓ -55% |
| Hill Physicians | Medicare|All Plans | $470.93 | ↓ -45% |
| BCBS - Anthem | Commercial|All Other Plans | $484.43 | ↓ -43% |
| Aetna | Commercial|All Other Plans | $569.14 | ↓ -33% |
| Aetna | Commercial|PPO | $569.14 | ↓ -33% |
| Aetna | Commercial|HMO | $569.14 | ↓ -33% |
| California Health & Wellness | Medicaid|All Plans | $617.21 | ↓ -28% |
| Health Net | Medicaid|All Plans | $617.21 | ↓ -28% |
| BCBS - Anthem | Medicaid|All Plans | $648.64 | ↓ -24% |
| Cigna | Commercial|LocalPlus | $657.55 | ↓ -23% |
| BCBS - Anthem | Commercial|MCS | $702.26 | ↓ -18% |
| United | Commercial|All Other Plans | $787.38 | ↓ -8% |
| United | Commercial|Non-Options PPO | $787.38 | ↓ -8% |
| United | Commercial|HMO | $787.38 | ↓ -8% |
| Cigna | Commercial|All Other Plans | $876.80 | ↑ +3% |
| BCBS - Anthem | Medicare|All Other Plans | $1,012.30 | ↑ +18% |
| Aetna | Medicare|All Plans | $1,073.49 | ↑ +26% |
| Humana | Commercial|All Plans | $1,073.49 | ↑ +26% |
| United | Medicare|All Plans | $1,073.49 | ↑ +26% |
| Kaiser | Medicare|All Plans | $1,073.49 | ↑ +26% |
| Molina | Medicare|All Plans | $1,073.49 | ↑ +26% |
| Blue Shield CA | Medicare|HMO | $1,073.49 | ↑ +26% |
| Blue Shield CA | Medicare|PPO | $1,073.49 | ↑ +26% |
| BCBS - Anthem | Medicare|Imperial | $1,105.69 | ↑ +29% |
| BrightHealth | Commercial|All Plans | $1,180.84 | ↑ +38% |
| Western Health Advantage | Commercial|All Plans | $1,371.65 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,606.79 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $1,610.23 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $2,821.68 | ↑ +230% |
| First Health | Commercial|All Plans | $2,939.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,096.01 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $3,135.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,135.20 | ↑ +267% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,128.68 | $185.47 – $3,252.77 |
| St. John's Camarillo Hospital | Camarillo | $391.58 | $241.38 – $1,788.00 |
| Petaluma Valley Hospital | Petaluma | $1,276.02 | $223.35 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $132.85 | $155.20 – $765.05 |
| Mark Twain Medical Center | San Andreas | $606.73 | $79.03 – $299.38 |
| French Hospital | San Luis Obispo | $121.68 | $83.81 – $899.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.08 | $204.27 – $853.25 |
| Bakersfield Memorial Hospital | Bakersfield | $302.78 | $204.27 – $853.25 |