Tissue amnio epifix inj 100mg at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$3,846.61
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.
$17,645.00
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.
$18.66 with Hill Physicians vs $9,495.85 with Blue Shield CA — 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 | $18.66 | ↓ -100% |
| United | Commercial|Non-Options PPO | $32.14 | ↓ -99% |
| Cigna | Commercial|LocalPlus | $59.31 | ↓ -98% |
| BCBS - Anthem | Commercial|Connection EPO | $63.14 | ↓ -98% |
| BCBS - Anthem | Commercial|All Other Plans | $78.92 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $79.10 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $114.50 | ↓ -97% |
| Kaiser | Commercial|All Plans | $2,400.05 | ↓ -38% |
| Kaiser | Medicare|All Plans | $2,400.05 | ↓ -38% |
| Kaiser | Medicaid|All Plans | $2,400.05 | ↓ -38% |
| BCBS - Anthem | Medicaid|All Plans | $2,504.40 | ↓ -35% |
| Partnership Health Plan | Medicaid|All Plans | $2,608.75 | ↓ -32% |
| Molina | Medicaid|All Plans | $2,713.10 | ↓ -29% |
| Health Net | Medicaid|All Plans | $2,921.80 | ↓ -24% |
| California Health & Wellness | Medicaid|All Plans | $2,921.80 | ↓ -24% |
| Health Net | Commercial|EPPO | $3,756.60 | ↓ -2% |
| United | Commercial|HMO | $5,634.90 | ↑ +46% |
| Western Health Advantage | Commercial|All Plans | $6,782.75 | ↑ +76% |
| Health Net | Commercial|FFS | $6,887.10 | ↑ +79% |
| United | Commercial|All Other Plans | $7,200.15 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $7,513.20 | ↑ +95% |
| First Health | Commercial|All Plans | $7,826.25 | ↑ +103% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $8,243.65 | ↑ +114% |
| Sutter Health | Commercial|All Plans | $8,348.00 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $8,348.00 | ↑ +117% |
| Blue Shield CA | Commercial|Exchange | $8,452.35 | ↑ +120% |
| Aetna | Commercial|HMO | $9,287.15 | ↑ +141% |
| Aetna | Commercial|PPO | $9,287.15 | ↑ +141% |
| Aetna | Commercial|All Other Plans | $9,287.15 | ↑ +141% |
| Blue Shield CA | Commercial|HMO | $9,391.50 | ↑ +144% |
| Blue Shield CA | Commercial|All Other Plans | $9,391.50 | ↑ +144% |
| Blue Shield CA | Commercial|CalPers | $9,495.85 | ↑ +147% |
Visitor-reported prices
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Tissue amnio epifix inj 100mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $5,081.76 | $18.66 – $9,391.50 |
| Petaluma Valley Hospital | Petaluma | $2,407.73 | $27.77 – $27.77 |
| Arroyo Grande Hospital | Santa Maria | $6,012.98 | $32.14 – $3,704.40 |
| French Hospital | San Luis Obispo | $5,507.21 | $53.03 – $3,704.40 |
| Dominican Hospital | Santa Cruz | $6,996.60 | $32.14 – $9,194.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $9,018.12 | $20.65 – $16,216.06 |
| St Jude Medical Center | Fullerton | $8,163.56 | $37.22 – $37.22 |
| Mercy San Juan Medical Center | Carmichael | $4,834.73 | $32.14 – $8,869.75 |