Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$122.52
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.
$562.00
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.
$38.94 with BCBS - Anthem vs $406.77 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $38.94 | ↓ -68% |
| Blue Shield CA | Medicare|PPO | $41.28 | ↓ -66% |
| Aetna | Medicare|All Plans | $41.28 | ↓ -66% |
| Blue Shield CA | Medicare|HMO | $41.28 | ↓ -66% |
| Kaiser | Medicare|All Plans | $41.28 | ↓ -66% |
| United | Medicare|All Plans | $41.28 | ↓ -66% |
| Humana | Commercial|All Plans | $41.28 | ↓ -66% |
| Molina | Medicare|All Plans | $41.28 | ↓ -66% |
| BCBS - Anthem | Medicare|Imperial | $42.52 | ↓ -65% |
| BrightHealth | Commercial|All Plans | $45.41 | ↓ -63% |
| BCBS - Anthem | Commercial|Connection EPO | $51.57 | ↓ -58% |
| Prison Healthcare | Medicaid|All Plans | $61.92 | ↓ -49% |
| BCBS - Anthem | Commercial|All Other Plans | $64.46 | ↓ -47% |
| BCBS - Anthem | Commercial|MCS | $93.52 | ↓ -24% |
| Health Net | Commercial|EPPO | $101.16 | ↓ -17% |
| Kaiser | Medicaid|All Plans | $105.78 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $108.62 | ↓ -11% |
| Hill Physicians | Medicare|All Plans | $119.92 | ↓ -2% |
| Partnership Health Plan | Medicaid|All Plans | $137.93 | ↑ +13% |
| Blue Shield CA | Commercial|All Other Plans | $140.50 | ↑ +15% |
| Blue Shield CA | Commercial|CalPers | $140.50 | ↑ +15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $140.50 | ↑ +15% |
| Blue Shield CA | Commercial|HMO | $140.50 | ↑ +15% |
| Blue Shield CA | Commercial|Exchange | $140.50 | ↑ +15% |
| Hill Physicians | Commercial|All Plans | $141.48 | ↑ +15% |
| Hill Physicians | Medicaid|All Plans | $151.72 | ↑ +24% |
| Healthsmart | Commercial|All Plans | $185.76 | ↑ +52% |
| Health Net | Commercial|FFS | $188.28 | ↑ +54% |
| First Health | Commercial|All Plans | $193.50 | ↑ +58% |
| Kaiser | Commercial|All Plans | $203.82 | ↑ +66% |
| Sutter Health | Commercial|All Plans | $206.40 | ↑ +68% |
| MultiPlan | Commercial|All Plans | $206.40 | ↑ +68% |
| United | Commercial|Non-Options PPO | $220.23 | ↑ +80% |
| United | Commercial|All Other Plans | $220.23 | ↑ +80% |
| United | Commercial|HMO | $220.23 | ↑ +80% |
| California Health & Wellness | Medicaid|All Plans | $258.00 | ↑ +111% |
| BCBS - Anthem | Medicaid|All Plans | $258.00 | ↑ +111% |
| Health Net | Medicaid|All Plans | $258.00 | ↑ +111% |
| Molina | Medicaid|All Plans | $259.31 | ↑ +112% |
| Cigna | Commercial|LocalPlus | $305.01 | ↑ +149% |
| Cigna | Commercial|All Other Plans | $406.77 | ↑ +232% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $161.86 | $63.27 – $305.01 |
| St. John's Camarillo Hospital | Camarillo | $196.32 | $24.72 – $405.12 |
| Petaluma Valley Hospital | Petaluma | $383.88 | $22.68 – $286.96 |
| Mark Twain Medical Center | San Andreas | $382.08 | $148.42 – $562.22 |
| French Hospital | San Luis Obispo | $550.76 | $130.38 – $1,376.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $207.76 | $59.11 – $205.60 |
| Bakersfield Memorial Hospital | Bakersfield | $205.52 | $36.95 – $203.03 |
| Queen of The Valley Medical Center | Napa | $383.88 | $24.56 – $286.96 |