Unlisted transfusion med px at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$70.85
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.
$325.00
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.
$17.50 with Western Health Advantage vs $74.51 with Cigna — 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $17.50 | ↓ -75% |
| Kaiser | Medicaid|All Plans | $20.50 | ↓ -71% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $23.50 | ↓ -67% |
| Blue Shield CA | Commercial|Exchange | $25.00 | ↓ -65% |
| Health Net | Medicaid|All Plans | $25.00 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $25.00 | ↓ -65% |
| United | Commercial|All Other Plans | $29.60 | ↓ -58% |
| United | Commercial|Non-Options PPO | $29.60 | ↓ -58% |
| United | Commercial|HMO | $29.60 | ↓ -58% |
| BCBS - Anthem | Medicare|All Other Plans | $30.35 | ↓ -57% |
| Humana | Commercial|All Plans | $32.18 | ↓ -55% |
| Aetna | Medicare|All Plans | $32.18 | ↓ -55% |
| Molina | Medicare|All Plans | $32.18 | ↓ -55% |
| United | Medicare|All Plans | $32.18 | ↓ -55% |
| Kaiser | Medicare|All Plans | $32.18 | ↓ -55% |
| Blue Shield CA | Medicare|HMO | $32.18 | ↓ -55% |
| Blue Shield CA | Medicare|PPO | $32.18 | ↓ -55% |
| BCBS - Anthem | Medicare|Imperial | $33.15 | ↓ -53% |
| Blue Shield CA | Commercial|HMO | $34.00 | ↓ -52% |
| BrightHealth | Commercial|All Plans | $35.40 | ↓ -50% |
| Healthsmart | Commercial|All Plans | $36.00 | ↓ -49% |
| Blue Shield CA | Commercial|CalPers | $36.50 | ↓ -48% |
| Blue Shield CA | Commercial|All Other Plans | $36.50 | ↓ -48% |
| First Health | Commercial|All Plans | $37.50 | ↓ -47% |
| Aetna | Commercial|All Other Plans | $39.00 | ↓ -45% |
| Aetna | Commercial|HMO | $39.00 | ↓ -45% |
| Aetna | Commercial|PPO | $39.00 | ↓ -45% |
| Kaiser | Commercial|All Plans | $39.50 | ↓ -44% |
| Sutter Health | Commercial|All Plans | $40.00 | ↓ -44% |
| MultiPlan | Commercial|All Plans | $40.00 | ↓ -44% |
| Prison Healthcare | Medicaid|All Plans | $48.27 | ↓ -32% |
| Cigna | Commercial|LocalPlus | $55.87 | ↓ -21% |
| Cigna | Commercial|All Other Plans | $74.51 | ↑ +5% |
Visitor-reported prices
Comments
Unlisted transfusion med px at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $198.24 | not published |
| South Sacramento Medical Center | SACRAMENTO | $198.24 | not published |
| Methodist Hospital of Sacramento | Sacramento | $93.60 | $17.50 – $55.87 |
| St. John's Camarillo Hospital | Camarillo | $347.78 | $29.60 – $114.66 |
| Redwood City Medical Center | Redwood City | $198.24 | not published |
| Santa Clara Medical Center | SANTA CLARA | $198.24 | not published |
| Banner Lassen Medical Center | Susanville | $208.29 | $4.90 – $291.97 |
| Oakland Medical Center | Oakland | $198.24 | not published |