Ven blood coll snf/hha at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5.02
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.
$23.00
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.
$4.28 with BCBS - Anthem vs $23.00 with United — 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 | Medicaid|All Plans | $4.28 | ↓ -15% |
| Western Health Advantage | Commercial|All Plans | $8.05 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $9.43 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $10.46 | ↑ +108% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10.81 | ↑ +115% |
| Cigna | Commercial|LocalPlus | $11.07 | ↑ +121% |
| United | Medicare|All Plans | $11.09 | ↑ +121% |
| Kaiser | Medicare|All Plans | $11.09 | ↑ +121% |
| Blue Shield CA | Medicare|PPO | $11.09 | ↑ +121% |
| Aetna | Medicare|All Plans | $11.09 | ↑ +121% |
| Molina | Medicare|All Plans | $11.09 | ↑ +121% |
| Hill Physicians | Commercial|All Plans | $11.09 | ↑ +121% |
| Humana | Commercial|All Plans | $11.09 | ↑ +121% |
| Blue Shield CA | Medicare|HMO | $11.09 | ↑ +121% |
| BCBS - Anthem | Medicare|Imperial | $11.42 | ↑ +127% |
| Blue Shield CA | Commercial|Exchange | $11.50 | ↑ +129% |
| BrightHealth | Commercial|All Plans | $12.20 | ↑ +143% |
| Cigna | Commercial|All Other Plans | $14.76 | ↑ +194% |
| Blue Shield CA | Commercial|HMO | $15.64 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $16.56 | ↑ +230% |
| Prison Healthcare | Medicaid|All Plans | $16.64 | ↑ +231% |
| Blue Shield CA | Commercial|All Other Plans | $16.79 | ↑ +234% |
| Blue Shield CA | Commercial|CalPers | $16.79 | ↑ +234% |
| First Health | Commercial|All Plans | $17.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $18.17 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $18.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $18.40 | ↑ +267% |
| United | Commercial|Non-Options PPO | $23.00 | ↑ +358% |
Visitor-reported prices
Comments
Ven blood coll snf/hha at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $6.63 | $4.28 – $19.09 |
| Arroyo Grande Hospital | Santa Maria | $38.10 | $5.00 – $87.22 |
| French Hospital | San Luis Obispo | $34.89 | $5.00 – $87.22 |
| Sierra Nevada Memorial Hospital | Grass Valley | $11.99 | $3.08 – $21.56 |
| Mercy San Juan Medical Center | Carmichael | $6.31 | $2.53 – $19.09 |
| Mercy Hospital of Folsom | Folsom | $8.95 | $2.53 – $18.86 |
| Woodland Memorial Hospital | Woodland | $6.31 | $2.53 – $23.00 |
| Queen of The Valley Medical Center | Napa | not published | $11.34 – $11.34 |