Urinalysis (with microscopy) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$27.69
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.
$127.00
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.
$2.77 with Partnership Health Plan vs $101.60 with MultiPlan — 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 | $2.77 | ↓ -90% |
| BCBS - Anthem | Medicare|All Other Plans | $2.99 | ↓ -89% |
| Blue Shield CA | Medicare|HMO | $3.17 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $3.17 | ↓ -89% |
| Aetna | Medicare|All Plans | $3.17 | ↓ -89% |
| Kaiser | Medicare|All Plans | $3.17 | ↓ -89% |
| Blue Shield CA | Medicare|PPO | $3.17 | ↓ -89% |
| Molina | Medicare|All Plans | $3.17 | ↓ -89% |
| United | Medicare|All Plans | $3.17 | ↓ -89% |
| Humana | Commercial|All Plans | $3.17 | ↓ -89% |
| Hill Physicians | Medicare|All Plans | $3.17 | ↓ -89% |
| BCBS - Anthem | Medicare|Imperial | $3.27 | ↓ -88% |
| BrightHealth | Commercial|All Plans | $3.49 | ↓ -87% |
| United | Commercial|HMO | $3.80 | ↓ -86% |
| United | Commercial|All Other Plans | $3.80 | ↓ -86% |
| United | Commercial|Non-Options PPO | $3.80 | ↓ -86% |
| United | Medicaid|> 21 | $3.97 | ↓ -86% |
| United | Medicaid|< 21 | $3.97 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $4.37 | ↓ -84% |
| Prison Healthcare | Medicaid|All Plans | $4.75 | ↓ -83% |
| Molina | Medicaid|All Plans | $5.21 | ↓ -81% |
| Cigna | Commercial|LocalPlus | $7.02 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $8.30 | ↓ -70% |
| California Health & Wellness | Medicaid|All Plans | $9.21 | ↓ -67% |
| Health Net | Medicaid|All Plans | $9.21 | ↓ -67% |
| Cigna | Commercial|All Other Plans | $9.36 | ↓ -66% |
| Aetna | Commercial|HMO | $11.54 | ↓ -58% |
| Aetna | Commercial|All Other Plans | $11.54 | ↓ -58% |
| Aetna | Commercial|PPO | $11.54 | ↓ -58% |
| BCBS - Anthem | Commercial|Connection EPO | $43.31 | ↑ +56% |
| Western Health Advantage | Commercial|All Plans | $44.45 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $52.07 | ↑ +88% |
| BCBS - Anthem | Commercial|All Other Plans | $54.12 | ↑ +95% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $59.69 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $63.50 | ↑ +129% |
| BCBS - Anthem | Commercial|MCS | $78.45 | ↑ +183% |
| Blue Shield CA | Commercial|HMO | $86.36 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $91.44 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $92.71 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $92.71 | ↑ +235% |
| First Health | Commercial|All Plans | $95.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $100.33 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $101.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $101.60 | ↑ +267% |
Visitor-reported prices
Comments
Urinalysis (with microscopy) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $82.88 | $3.00 – $3.00 |
| South Sacramento Medical Center | SACRAMENTO | $82.88 | $3.00 – $3.00 |
| Methodist Hospital of Sacramento | Sacramento | $36.58 | $2.77 – $105.41 |
| St. John's Camarillo Hospital | Camarillo | $66.14 | $3.17 – $9.90 |
| Redwood City Medical Center | Redwood City | $82.88 | $3.00 – $3.00 |
| Santa Clara Medical Center | SANTA CLARA | $82.88 | $3.00 – $3.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $93.08 | $2.00 – $2.00 |
| Riverside Medical Center | RIVERSIDE | $93.08 | $2.00 – $2.00 |