Vaccine pneumococcal conjugate 13 valent (pcv13) im at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$236.32
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.
$1,084.00
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.
$65.65 with BCBS - Anthem vs $786.67 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 | $65.65 | ↓ -72% |
| Blue Shield CA | Medicare|PPO | $69.60 | ↓ -71% |
| Blue Shield CA | Medicare|HMO | $69.60 | ↓ -71% |
| Aetna | Medicare|All Plans | $69.60 | ↓ -71% |
| Kaiser | Medicare|All Plans | $69.60 | ↓ -71% |
| Molina | Medicare|All Plans | $69.60 | ↓ -71% |
| United | Medicare|All Plans | $69.60 | ↓ -71% |
| Humana | Commercial|All Plans | $69.60 | ↓ -71% |
| BCBS - Anthem | Medicare|Imperial | $71.69 | ↓ -70% |
| BrightHealth | Commercial|All Plans | $76.56 | ↓ -68% |
| Prison Healthcare | Medicaid|All Plans | $104.40 | ↓ -56% |
| Kaiser | Medicaid|All Plans | $178.35 | ↓ -25% |
| Health Net | Commercial|EPPO | $195.53 | ↓ -17% |
| Western Health Advantage | Commercial|All Plans | $206.13 | ↓ -13% |
| Hill Physicians | Medicare|All Plans | $230.14 | ↓ -3% |
| Partnership Health Plan | Medicaid|All Plans | $262.45 | ↑ +11% |
| Blue Shield CA | Commercial|CalPers | $271.57 | ↑ +15% |
| Blue Shield CA | Commercial|All Other Plans | $271.57 | ↑ +15% |
| Blue Shield CA | Commercial|Exchange | $271.57 | ↑ +15% |
| Blue Shield CA | Commercial|HMO | $271.57 | ↑ +15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $271.57 | ↑ +15% |
| Hill Physicians | Commercial|All Plans | $273.47 | ↑ +16% |
| Hill Physicians | Medicaid|All Plans | $288.70 | ↑ +22% |
| BCBS - Anthem | Commercial|Connection EPO | $313.20 | ↑ +33% |
| Healthsmart | Commercial|All Plans | $313.20 | ↑ +33% |
| First Health | Commercial|All Plans | $326.25 | ↑ +38% |
| Kaiser | Commercial|All Plans | $343.65 | ↑ +45% |
| MultiPlan | Commercial|All Plans | $348.00 | ↑ +47% |
| Sutter Health | Commercial|All Plans | $348.00 | ↑ +47% |
| Health Net | Commercial|FFS | $363.90 | ↑ +54% |
| BCBS - Anthem | Commercial|All Other Plans | $391.50 | ↑ +66% |
| United | Commercial|Non-Options PPO | $398.28 | ↑ +69% |
| United | Commercial|HMO | $425.68 | ↑ +80% |
| United | Commercial|All Other Plans | $425.68 | ↑ +80% |
| BCBS - Anthem | Medicaid|All Plans | $435.00 | ↑ +84% |
| California Health & Wellness | Medicaid|All Plans | $435.00 | ↑ +84% |
| BCBS - Anthem | Commercial|MCS | $435.00 | ↑ +84% |
| Health Net | Medicaid|All Plans | $435.00 | ↑ +84% |
| Molina | Medicaid|All Plans | $493.41 | ↑ +109% |
| Cigna | Commercial|LocalPlus | $589.87 | ↑ +150% |
| Cigna | Commercial|All Other Plans | $786.67 | ↑ +233% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $312.20 | $106.67 – $589.87 |
| St. John's Camarillo Hospital | Camarillo | $378.37 | $166.27 – $829.30 |
| Mark Twain Medical Center | San Andreas | $736.49 | $286.08 – $1,083.72 |
| French Hospital | San Luis Obispo | $1,061.93 | $245.84 – $2,654.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $399.94 | $99.59 – $368.74 |
| Queen of The Valley Medical Center | Napa | $656.72 | $165.16 – $554.68 |
| Providence St Joseph Hospital Eureka | Eureka | $656.72 | $197.01 – $554.68 |
| St. Joseph's Behavioral Health Center | Stockton | $471.65 | $33.20 – $265.60 |