Very long chain fatty acids at Mercy General Hospital

4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$23.26

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.

Full explanation →

What you pay up front if you don't use insurance.

$106.66

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$16.05 with Partnership Health Plan vs $106.66 with BCBS - Anthem — same scan, same building. Share

Negotiated rates by payer
?

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 $16.05 ↓ -31%
BCBS - Anthem Medicare|All Other Plans $18.62 ↓ -20%
Hill Physicians Medicare|All Plans $19.75 ↓ -15%
Aetna Medicare|All Plans $19.75 ↓ -15%
Hill Physicians Commercial|All Plans $19.75 ↓ -15%
Kaiser Medicare|All Plans $19.75 ↓ -15%
Humana Commercial|All Plans $19.75 ↓ -15%
Molina Medicare|All Plans $19.75 ↓ -15%
United Medicare|All Plans $19.75 ↓ -15%
Blue Shield CA Medicare|PPO $19.75 ↓ -15%
Blue Shield CA Medicare|HMO $19.75 ↓ -15%
BCBS - Anthem Medicare|Imperial $20.34 ↓ -13%
BrightHealth Commercial|All Plans $21.73 ↓ -7%
United Medicaid|< 21 $23.02 ↓ -1%
United Medicaid|> 21 $23.02 ↓ -1%
United Commercial|HMO $23.70 ↑ +2%
United Commercial|All Other Plans $23.70 ↑ +2%
United Commercial|Non-Options PPO $23.70 ↑ +2%
Hill Physicians Medicaid|All Plans $25.32 ↑ +9%
Prison Healthcare Medicaid|All Plans $29.63 ↑ +27%
Molina Medicaid|All Plans $30.17 ↑ +30%
Western Health Advantage Commercial|All Plans $37.34 ↑ +61%
Kaiser Medicaid|All Plans $43.74 ↑ +88%
Cigna Commercial|LocalPlus $43.75 ↑ +88%
BCBS - Anthem Medicaid|All Plans $46.23 ↑ +99%
Blue Shield CA Commercial|ACO Trio CalPers $50.14 ↑ +116%
Blue Shield CA Commercial|Exchange $53.33 ↑ +129%
Health Net Medicaid|All Plans $53.41 ↑ +130%
California Health & Wellness Medicaid|All Plans $53.41 ↑ +130%
Cigna Commercial|All Other Plans $58.33 ↑ +151%
Aetna Commercial|PPO $65.97 ↑ +184%
Aetna Commercial|All Other Plans $65.97 ↑ +184%
Aetna Commercial|HMO $65.97 ↑ +184%
Blue Shield CA Commercial|HMO $72.53 ↑ +212%
Healthsmart Commercial|All Plans $76.80 ↑ +230%
Blue Shield CA Commercial|CalPers $77.87 ↑ +235%
Blue Shield CA Commercial|All Other Plans $77.87 ↑ +235%
First Health Commercial|All Plans $80.00 ↑ +244%
Kaiser Commercial|All Plans $84.27 ↑ +262%
BCBS - Anthem Commercial|Connection EPO $85.33 ↑ +267%
Sutter Health Commercial|All Plans $85.33 ↑ +267%
MultiPlan Commercial|All Plans $85.33 ↑ +267%
BCBS - Anthem Commercial|All Other Plans $106.66 ↑ +359%
BCBS - Anthem Commercial|MCS $106.66 ↑ +359%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Very long chain fatty acids at other California hospitals

Hospital City Cash price Negotiated range
Sacramento Medical Center SACRAMENTO $115.92 $18.00 – $18.00
South Sacramento Medical Center SACRAMENTO $115.92 $18.00 – $18.00
Methodist Hospital of Sacramento Sacramento $30.72 $16.05 – $88.53
Fresno Medical Center FRESNO $115.92 $18.00 – $18.00
Antioch Medical Center ANTIOCH $115.92 $18.00 – $18.00
Redwood City Medical Center Redwood City $115.92 $18.00 – $18.00
Santa Clara Medical Center SANTA CLARA $115.92 $18.00 – $18.00
Baldwin Park Medical Center BALDWIN PARK $139.88 $13.00 – $13.00

All California hospitals for this procedure →