Tc-99m exame autol wbc diag per dose at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,274.83
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.
$10,435.00
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.
$1,289.16 with BCBS - Anthem vs $5,686.91 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $1,289.16 | ↓ -43% |
| Humana | Commercial|All Plans | $1,367.08 | ↓ -40% |
| Aetna | Medicare|All Plans | $1,367.08 | ↓ -40% |
| Kaiser | Medicare|All Plans | $1,367.08 | ↓ -40% |
| Molina | Medicare|All Plans | $1,367.08 | ↓ -40% |
| United | Medicare|All Plans | $1,367.08 | ↓ -40% |
| Blue Shield CA | Medicare|PPO | $1,367.08 | ↓ -40% |
| Blue Shield CA | Medicare|HMO | $1,367.08 | ↓ -40% |
| BCBS - Anthem | Medicare|Imperial | $1,408.09 | ↓ -38% |
| BrightHealth | Commercial|All Plans | $1,503.79 | ↓ -34% |
| United | Commercial|HMO | $1,716.53 | ↓ -25% |
| United | Commercial|All Other Plans | $1,716.53 | ↓ -25% |
| Prison Healthcare | Medicaid|All Plans | $2,050.62 | ↓ -10% |
| Western Health Advantage | Commercial|All Plans | $2,089.85 | ↓ -8% |
| Kaiser | Medicaid|All Plans | $2,448.11 | ↑ +8% |
| United | Commercial|Non-Options PPO | $2,760.22 | ↑ +21% |
| Health Net | Medicaid|All Plans | $2,985.50 | ↑ +31% |
| California Health & Wellness | Medicaid|All Plans | $2,985.50 | ↑ +31% |
| BCBS - Anthem | Commercial|Connection EPO | $3,135.75 | ↑ +38% |
| BCBS - Anthem | Commercial|All Other Plans | $3,919.71 | ↑ +72% |
| Cigna | Commercial|LocalPlus | $4,066.43 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $4,299.12 | ↑ +89% |
| First Health | Commercial|All Plans | $4,478.25 | ↑ +97% |
| Kaiser | Commercial|All Plans | $4,717.09 | ↑ +107% |
| Sutter Health | Commercial|All Plans | $4,776.80 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $4,776.80 | ↑ +110% |
| Cigna | Commercial|All Other Plans | $5,423.07 | ↑ +138% |
| BCBS - Anthem | Commercial|MCS | $5,686.91 | ↑ +150% |
Visitor-reported prices
Comments
Tc-99m exame autol wbc diag per dose at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,005.28 | $1,289.16 – $4,955.93 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,512.20 | $1,321.83 – $3,260.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,495.90 | $1,321.83 – $3,220.04 |
| St. Joseph's Medical Center Stockton | Stockton | $1,198.35 | $855.96 – $3,342.32 |
| Mercy Medical Center Merced | Merced | $2,099.14 | $1,321.83 – $3,831.44 |
| California Hospital Medical Center | Los Angeles | $800.74 | $412.75 – $1,651.00 |
| Glendale Memorial Hospital Health Center | Glendale | $1,206.53 | $925.25 – $2,960.80 |
| Mercy San Juan Medical Center | Carmichael | $2,859.19 | $656.81 – $4,955.93 |