Tobramycin peak therapeutic drug level at Mercy General Hospital

4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$85.90

Cash price

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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.

$394.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$14.33 with Partnership Health Plan vs $394.00 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 →

Payer
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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
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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 $14.33 ↓ -83%
BCBS - Anthem Medicare|All Other Plans $15.21 ↓ -82%
Hill Physicians Commercial|All Plans $16.13 ↓ -81%
Aetna Medicare|All Plans $16.13 ↓ -81%
United Medicare|All Plans $16.13 ↓ -81%
Hill Physicians Medicare|All Plans $16.13 ↓ -81%
Molina Medicare|All Plans $16.13 ↓ -81%
Blue Shield CA Medicare|PPO $16.13 ↓ -81%
Humana Commercial|All Plans $16.13 ↓ -81%
Blue Shield CA Medicare|HMO $16.13 ↓ -81%
Kaiser Medicare|All Plans $16.13 ↓ -81%
BCBS - Anthem Medicare|Imperial $16.61 ↓ -81%
BrightHealth Commercial|All Plans $17.74 ↓ -79%
United Commercial|Non-Options PPO $19.36 ↓ -77%
United Commercial|All Other Plans $19.36 ↓ -77%
United Commercial|HMO $19.36 ↓ -77%
United Medicaid|< 21 $20.55 ↓ -76%
United Medicaid|> 21 $20.55 ↓ -76%
Hill Physicians Medicaid|All Plans $22.60 ↓ -74%
Prison Healthcare Medicaid|All Plans $24.20 ↓ -72%
Molina Medicaid|All Plans $26.94 ↓ -69%
Cigna Commercial|LocalPlus $35.71 ↓ -58%
BCBS - Anthem Medicaid|All Plans $41.12 ↓ -52%
Cigna Commercial|All Other Plans $47.61 ↓ -45%
Health Net Medicaid|All Plans $47.68 ↓ -44%
California Health & Wellness Medicaid|All Plans $47.68 ↓ -44%
Aetna Commercial|All Other Plans $58.87 ↓ -31%
Aetna Commercial|PPO $58.87 ↓ -31%
Aetna Commercial|HMO $58.87 ↓ -31%
Western Health Advantage Commercial|All Plans $137.90 ↑ +61%
Kaiser Medicaid|All Plans $161.54 ↑ +88%
Blue Shield CA Commercial|ACO Trio CalPers $185.18 ↑ +116%
Blue Shield CA Commercial|Exchange $197.00 ↑ +129%
BCBS - Anthem Commercial|Connection EPO $228.39 ↑ +166%
Blue Shield CA Commercial|HMO $267.92 ↑ +212%
Healthsmart Commercial|All Plans $283.68 ↑ +230%
BCBS - Anthem Commercial|All Other Plans $285.36 ↑ +232%
Blue Shield CA Commercial|All Other Plans $287.62 ↑ +235%
Blue Shield CA Commercial|CalPers $287.62 ↑ +235%
First Health Commercial|All Plans $295.50 ↑ +244%
Kaiser Commercial|All Plans $311.26 ↑ +262%
MultiPlan Commercial|All Plans $315.20 ↑ +267%
Sutter Health Commercial|All Plans $315.20 ↑ +267%
BCBS - Anthem Commercial|MCS $394.00 ↑ +359%

Visitor-reported prices

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Tobramycin peak therapeutic drug level at other California hospitals

Hospital City Cash price Negotiated range
Methodist Hospital of Sacramento Sacramento $113.48 $14.33 – $327.02
St. John's Camarillo Hospital Camarillo $83.22 $16.13 – $148.20
Banner Lassen Medical Center Susanville $10.64 $3.23 – $23.64
Petaluma Valley Hospital Petaluma $207.06 $15.81 – $131.57
Arroyo Grande Hospital Santa Maria $231.98 $16.13 – $49.00
Mark Twain Medical Center San Andreas $121.22 $16.13 – $39.53
French Hospital San Luis Obispo $212.47 $13.50 – $49.00
Mercy Hospitals – Bakersfield Bakersfield $126.89 $16.13 – $51.20

All California hospitals for this procedure →